Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.98 / $1,557.60 / $2,218.40	Professional		$1,133.98	$1,557.60	$2,218.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $148.68 / $148.68	Professional		$148.68	$148.68	$148.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,695.20 / $2,695.20 / $2,695.20	Facility		$2,695.20	$2,695.20	$2,695.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $2,629.43	Facility		$1,208.78	$1,208.78	$2,629.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $1,245.04	Professional		$1,027.46	$1,208.78	$1,245.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,390.22 / $12,092.66 / $12,533.54	Facility		$4,390.22	$12,092.66	$12,533.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,311.69 / $2,100.40	Facility		$269.52	$1,311.69	$2,100.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $737.82 / $2,255.48	Professional		$247.96	$737.82	$2,255.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,208.78 / $2,088.37	Facility		$269.52	$1,208.78	$2,088.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,208.78 / $1,208.78	Professional		$190.49	$1,208.78	$1,208.78
United Facility/Professional Professional Modifier Low / Median / High Price $909.68 / $1,132.64 / $1,639.61	Professional		$909.68	$1,132.64	$1,639.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,715.06 / $1,984.08 / $1,984.08	Professional		$1,715.06	$1,984.08	$1,984.08