Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.39 / $456.38 / $619.91	Professional		$346.39	$456.38	$619.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.50 / $2,252.88 / $2,598.32	Facility		$670.50	$2,252.88	$2,598.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $44.50 / $44.50	Professional		$44.50	$44.50	$44.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $736.21 / $736.21 / $806.39	Facility		$736.21	$736.21	$806.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $278.13 / $684.17	Facility		$278.13	$278.13	$684.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $236.41 / $588.25	Professional		$203.03	$236.41	$588.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.58 / $3,649.09 / $3,649.09	Facility		$1,169.58	$3,649.09	$3,649.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.15 / $581.67 / $845.36	Facility		$532.15	$581.67	$845.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $625.78 / $736.21	Professional		$74.20	$625.78	$736.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $532.15 / $806.39	Facility		$278.13	$532.15	$806.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $278.13 / $588.25	Professional		$203.03	$278.13	$588.25
United Facility/Professional Professional Modifier Low / Median / High Price $305.37 / $400.30 / $567.09	Professional		$305.37	$400.30	$567.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $567.09 / $567.09	Professional		$522.79	$567.09	$567.09