Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.18 / $562.15 / $783.39	Facility		$359.18	$562.15	$783.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $362.78 / $493.25	Professional		$359.18	$362.78	$493.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.64 / $890.00 / $1,775.78	Facility		$351.64	$890.00	$1,775.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $353.72 / $353.72	Professional		$353.72	$353.72	$353.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $31,272.12 / $31,272.12 / $31,272.12	Facility		$31,272.12	$31,272.12	$31,272.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $359.19 / $359.19	Facility		$338.86	$359.19	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.97 / $1,762.80 / $1,795.95	Facility		$468.97	$1,762.80	$1,795.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $513.64 / $529.05	Facility		$359.09	$513.64	$529.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $359.19 / $650.80	Professional		$269.32	$359.19	$650.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $359.19 / $518.78	Facility		$338.86	$359.19	$518.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.30 / $359.19 / $628.25	Professional		$339.30	$359.19	$628.25
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $347.10 / $484.91	Professional		$347.10	$347.10	$484.91