Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,691.53	Facility		$1,698.24	$1,819.70	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,691.53	Professional		$1,479.11	$2,089.30	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $478.63 / $1,122.02	Facility		$223.87	$478.63	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $251.19	Professional		$223.87	$251.19	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Facility		$2,511.89	$2,511.89	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Facility		$2,137.96	$2,137.96	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,479.11 / $2,137.96	Professional		$213.80	$1,479.11	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,772.37 / $9,772.37	Facility		$100.00	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,819.70 / $2,691.53	Facility		$257.04	$1,819.70	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $2,691.53	Professional		$1,621.81	$2,570.40	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $4,265.80	Professional		$218.78	$426.58	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,698.24 / $2,691.53	Facility		$257.04	$1,698.24	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,513.56 / $1,737.80	Professional		$257.04	$1,513.56	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $2,454.71	Facility		$131.83	$275.42	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $457.09 / $2,691.53	Professional		$120.23	$457.09	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80