Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,089.30	Professional		$1,023.29	$1,584.89	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,754.23	Facility		$2,691.53	$2,691.53	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,041.74	Facility		$1,412.54	$1,412.54	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,412.54 / $1,778.28	Professional		$213.80	$1,412.54	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $13,182.57 / $13,182.57	Facility		$2,570.40	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,412.54 / $2,754.23	Facility		$331.13	$1,412.54	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,089.30 / $2,089.30	Professional		$776.25	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $2,398.83	Professional		$190.55	$251.19	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,737.80 / $2,754.23	Facility		$776.25	$1,737.80	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,202.26 / $1,445.44	Professional		$213.80	$1,202.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $977.24 / $1,698.24	Facility		$114.82	$977.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,187.76	Professional		$1,000.00	$1,412.54	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30