Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Professional		$1,908.26	$1,908.26	$1,908.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.04 / $415.05 / $415.05	Professional		$332.04	$415.05	$415.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,208.71 / $6,208.71 / $6,208.71	Facility		$6,208.71	$6,208.71	$6,208.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $3,121.20	Facility		$1,908.26	$1,908.26	$3,121.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.75 / $2,501.75 / $2,501.75	Professional		$2,501.75	$2,501.75	$2,501.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $3,121.20	Facility		$1,908.26	$1,908.26	$3,121.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,501.75 / $4,300.60 / $4,300.60	Professional		$2,501.75	$4,300.60	$4,300.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,080.00 / $4,183.89 / $4,183.89	Professional		$4,080.00	$4,183.89	$4,183.89