Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.83 / $532.25 / $707.02	Professional		$408.83	$532.25	$707.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $50.73 / $50.73	Professional		$50.73	$50.73	$50.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $879.74 / $879.74 / $919.69	Facility		$879.74	$879.74	$919.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $822.43	Facility		$369.39	$369.39	$822.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $313.98 / $711.17	Professional		$269.64	$313.98	$711.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,392.06 / $4,343.22 / $4,343.22	Facility		$1,392.06	$4,343.22	$4,343.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.55 / $686.53 / $919.69	Facility		$624.55	$686.53	$919.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $719.81 / $846.11	Professional		$84.62	$719.81	$846.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $640.58 / $919.69	Facility		$369.39	$640.58	$919.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $369.39 / $711.17	Professional		$269.64	$369.39	$711.17
United Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $481.19 / $681.69	Professional		$341.64	$481.19	$681.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.80 / $681.69 / $681.69	Professional		$616.80	$681.69	$681.69