Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $508.32	Professional		$503.29	$503.29	$508.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $63.19 / $63.19	Professional		$63.19	$63.19	$63.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,324.74 / $1,324.74 / $1,324.74	Facility		$1,324.74	$1,324.74	$1,324.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $390.00	Professional		$331.50	$390.00	$390.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $365.95 / $365.95 / $394.10	Facility		$365.95	$365.95	$394.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $503.29 / $819.19	Facility		$503.29	$503.29	$819.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.11 / $2,281.65 / $2,281.65	Professional		$629.11	$2,281.65	$2,281.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $503.29 / $503.29	Facility		$390.00	$503.29	$503.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $390.00	Professional		$331.50	$390.00	$390.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00