Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.59 / $503.91 / $709.72	Professional		$379.59	$503.91	$709.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.61 / $2,579.17 / $2,974.64	Facility		$767.61	$2,579.17	$2,974.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $50.92 / $50.92	Professional		$50.92	$50.92	$50.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $793.39 / $793.39 / $923.20	Facility		$793.39	$793.39	$923.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $727.79	Facility		$647.96	$647.96	$727.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $550.77 / $667.40	Professional		$473.01	$550.77	$667.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.42 / $3,751.53 / $3,751.53	Facility		$1,202.42	$3,751.53	$3,751.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $630.26 / $923.20	Facility		$553.91	$630.26	$923.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $674.38 / $923.20	Professional		$84.92	$674.38	$923.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $572.32 / $923.20	Facility		$553.91	$572.32	$923.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $647.96 / $647.96	Professional		$473.01	$647.96	$647.96
United Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $425.24 / $603.26	Professional		$315.98	$425.24	$603.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $547.04 / $603.26 / $603.26	Professional		$547.04	$603.26	$603.26