Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.73 / $2,809.38 / $4,167.25	Facility		$2,715.73	$2,809.38	$4,167.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,481.62 / $3,053.82 / $4,167.25	Professional		$2,481.62	$3,053.82	$4,167.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.09 / $755.85 / $1,550.66	Facility		$423.09	$755.85	$1,550.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.98 / $294.98 / $294.98	Professional		$294.98	$294.98	$294.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,347.30 / $5,347.30 / $5,347.30	Facility		$5,347.30	$5,347.30	$5,347.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $389.53	Professional		$248.35	$248.35	$389.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $5,250.00	Facility		$80.00	$100.00	$5,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.44 / $534.73 / $3,558.55	Facility		$344.44	$534.73	$3,558.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $418.51 / $534.73 / $1,463.85	Professional		$418.51	$534.73	$1,463.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.71 / $534.73 / $3,548.72	Facility		$382.71	$534.73	$3,548.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $468.23	Professional		$248.35	$248.35	$468.23
United Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $251.11 / $1,878.64	Professional		$188.97	$251.11	$1,878.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,769.32 / $4,019.14 / $4,019.14	Professional		$2,769.32	$4,019.14	$4,019.14