Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $616.60	Professional		$346.74	$478.63	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,570.40	Facility		$1,659.59	$2,344.23	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $831.76	Facility		$758.58	$758.58	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $588.84	Professional		$204.17	$234.42	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $3,630.78	Facility		$1,174.90	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $870.96	Facility		$537.03	$575.44	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $707.95	Professional		$380.19	$575.44	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $831.76	Facility		$275.42	$537.03	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $288.40	Professional		$204.17	$234.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $257.04 / $467.74	Facility		$30.20	$257.04	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $562.34	Professional		$281.84	$371.54	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34