Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.95 / $1,913.88 / $2,721.44	Professional		$1,528.95	$1,913.88	$2,721.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $192.64	Professional		$192.64	$192.64	$192.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,492.00 / $3,492.00 / $3,492.00	Facility		$3,492.00	$3,492.00	$3,492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $3,287.59	Facility		$2,160.00	$2,160.00	$3,287.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $2,904.98	Professional		$1,836.00	$2,160.00	$2,904.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,688.90 / $15,669.80 / $16,241.11	Facility		$5,688.90	$15,669.80	$16,241.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $349.20 / $2,323.92	Facility		$200.00	$349.20	$2,323.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.32 / $349.20 / $2,922.42	Professional		$273.32	$349.20	$2,922.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.43 / $955.98 / $2,300.21	Facility		$237.43	$955.98	$2,300.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $2,160.00 / $2,224.80	Professional		$259.39	$2,160.00	$2,224.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.31 / $1,371.20 / $2,124.11	Professional		$1,162.31	$1,371.20	$2,124.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,228.40 / $2,570.80 / $2,570.80	Professional		$2,228.40	$2,570.80	$2,570.80