Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.43 / $585.85 / $778.22	Professional		$463.43	$585.85	$778.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $278.98 / $321.76	Facility		$83.03	$278.98	$321.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $62.96 / $62.96	Professional		$47.53	$62.96	$62.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $998.60 / $998.60 / $998.60	Facility		$998.60	$998.60	$998.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.42 / $2,355.54 / $2,355.54	Facility		$1,013.42	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $2,002.21 / $2,355.54	Professional		$77.09	$2,002.21	$2,355.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.52 / $4,660.41 / $4,830.32	Facility		$2,550.52	$4,660.41	$4,830.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $99.86 / $731.64	Facility		$64.67	$99.86	$731.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $99.86 / $622.83	Professional		$64.67	$99.86	$622.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $99.86 / $2,355.54	Facility		$64.67	$99.86	$2,355.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $2,355.54 / $2,355.54	Professional		$73.42	$2,355.54	$2,355.54
United Facility/Professional Professional Modifier Low / Median / High Price $364.33 / $419.12 / $743.08	Professional		$364.33	$419.12	$743.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $649.20 / $773.30 / $773.30	Professional		$649.20	$773.30	$773.30