Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.39 / $1,550.78 / $1,794.47	Professional		$1,207.39	$1,550.78	$1,794.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $2,215.40	Professional		$2,215.40	$2,215.40	$2,215.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.48 / $2,698.48 / $3,233.08	Professional		$2,698.48	$2,698.48	$3,233.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,544.64 / $10,523.15 / $10,523.15	Facility		$3,544.64	$10,523.15	$10,523.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,032.69 / $11,032.69 / $16,615.50	Professional		$11,032.69	$11,032.69	$16,615.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,550.78 / $2,215.40 / $3,323.10	Facility		$1,550.78	$2,215.40	$3,323.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $2,769.25	Professional		$2,215.40	$2,215.40	$2,769.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,550.78 / $2,215.40 / $3,772.91	Facility		$1,550.78	$2,215.40	$3,772.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,326.17 / $2,658.48 / $3,876.95	Professional		$2,326.17	$2,658.48	$3,876.95
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $930.47 / $1,581.80	Professional		$930.47	$930.47	$1,581.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $1,147.58 / $2,215.40	Professional		$327.85	$1,147.58	$2,215.40