Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,548.13	Professional		$1,905.46	$2,691.53	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $288.40	Professional		$251.19	$288.40	$288.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,677.35	Facility		$4,570.88	$4,570.88	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $20,892.96 / $20,892.96	Facility		$5,754.40	$20,892.96	$20,892.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,230.27 / $3,019.95	Facility		$323.59	$1,230.27	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $3,548.13	Professional		$1,905.46	$3,548.13	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $3,090.30	Professional		$309.03	$309.03	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,230.27 / $3,090.30	Facility		$275.42	$1,230.27	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,238.72	Professional		$1,230.27	$1,905.46	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $660.69 / $2,137.96	Facility		$151.36	$660.69	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,754.23	Professional		$1,148.15	$1,445.44	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53