Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,677.35 / $16,218.10	Facility		$1,380.38	$4,677.35	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $1,096.48	Professional		$199.53	$263.03	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,165.95 / $12,882.50	Facility		$3,019.95	$6,165.95	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $12,022.64 / $20,417.38	Facility		$9,549.93	$12,022.64	$20,417.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,041.74	Professional		$1,659.59	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,715.35 / $12,882.50	Facility		$489.78	$3,715.35	$12,882.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $10,964.78	Professional		$181.97	$263.03	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $14,454.40	Facility		$234.42	$331.13	$14,454.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $2,398,832.92	Professional		$251.19	$380.19	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $14,125.38	Facility		$2,187.76	$6,606.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $467.74	Professional		$218.78	$295.12	$467.74