Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.29 / $410.31 / $559.53	Professional		$306.29	$410.31	$559.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $199.75 / $230.40	Facility		$59.45	$199.75	$230.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.44 / $39.44	Professional		$39.43	$39.44	$39.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $651.40 / $651.40 / $651.40	Facility		$651.40	$651.40	$651.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $668.61	Facility		$450.88	$450.88	$668.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $450.88 / $450.88	Professional		$383.25	$450.88	$450.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,294.19 / $3,564.78 / $3,694.74	Facility		$1,294.19	$3,564.78	$3,694.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $71.51 / $514.33	Facility		$47.43	$71.51	$514.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $71.51 / $559.53	Professional		$47.43	$71.51	$559.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $71.51 / $493.02	Facility		$47.43	$71.51	$493.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $450.88 / $450.88	Professional		$53.68	$450.88	$450.88
United Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $258.99 / $469.44	Facility		$28.26	$258.99	$469.44
United Facility/Professional Professional Modifier Low / Median / High Price $258.99 / $332.39 / $470.89	Professional		$258.99	$332.39	$470.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $199.89 / $454.93	Professional		$199.89	$199.89	$454.93