Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $254.65 / $336.59	Professional		$189.83	$254.65	$336.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $27.92 / $27.92	Professional		$25.13	$27.92	$27.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.72 / $398.72 / $505.69	Facility		$398.72	$398.72	$505.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $414.60	Facility		$265.97	$265.97	$414.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $315.91	Professional		$226.07	$226.07	$315.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $611.85 / $1,908.97 / $1,908.97	Facility		$611.85	$1,908.97	$1,908.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.62 / $338.13 / $505.69	Facility		$160.62	$338.13	$505.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $366.82 / $505.69	Professional		$46.53	$366.82	$505.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.62 / $280.49 / $505.69	Facility		$160.62	$280.49	$505.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.62 / $226.07 / $423.21	Professional		$160.62	$226.07	$423.21
United Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $230.65 / $356.94	Professional		$168.10	$230.65	$356.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.97 / $323.57 / $323.57	Professional		$297.97	$323.57	$323.57