Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.71 / $1,548.22 / $2,132.46	Professional		$1,155.71	$1,548.22	$2,132.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.85 / $7,640.14 / $8,606.04	Facility		$2,273.85	$7,640.14	$8,606.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $172.97 / $172.97	Professional		$172.97	$172.97	$172.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,405.63 / $2,405.63 / $2,405.63	Facility		$2,405.63	$2,405.63	$2,405.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,111.63	Facility		$1,772.06	$1,772.06	$2,111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,111.63	Professional		$1,506.25	$1,772.06	$2,111.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,698.81 / $11,540.27 / $11,540.27	Facility		$3,698.81	$11,540.27	$11,540.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.35 / $1,760.89 / $2,405.63	Facility		$1,599.35	$1,760.89	$2,405.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.32 / $2,213.17 / $2,405.63	Professional		$221.32	$2,213.17	$2,405.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,599.35 / $1,769.00 / $2,405.63	Facility		$1,599.35	$1,769.00	$2,405.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,111.63	Professional		$1,506.25	$1,772.06	$2,111.63
United Facility/Professional Facility Modifier Low / Median / High Price $111.37 / $1,020.61 / $1,533.37	Facility		$111.37	$1,020.61	$1,533.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.43 / $1,310.18 / $1,959.55	Professional		$1,002.43	$1,310.18	$1,959.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,804.13 / $1,965.62 / $1,965.62	Professional		$1,804.13	$1,965.62	$1,965.62