Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $336.05 / $336.05	Professional		$336.05	$336.05	$336.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Professional		$62.56	$62.56	$62.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,510.31 / $1,510.31 / $1,510.31	Facility		$1,510.31	$1,510.31	$1,510.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Facility		$405.00	$405.00	$405.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $405.00 / $413.10	Professional		$344.25	$405.00	$413.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $347.75 / $347.75 / $374.50	Facility		$347.75	$347.75	$374.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $336.05 / $821.74	Facility		$336.05	$336.05	$821.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $673.50 / $3,495.66 / $3,495.66	Professional		$673.50	$3,495.66	$3,495.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.05 / $336.05 / $405.00	Facility		$336.05	$336.05	$405.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $405.00 / $405.00	Professional		$344.25	$405.00	$405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $637.50 / $637.50	Professional		$637.50	$637.50	$637.50