Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,412.54	Professional		$776.25	$1,122.02	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $5,495.41	Facility		$3,630.78	$5,011.87	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $112.20	Professional		$100.00	$112.20	$112.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,445.44	Professional		$954.99	$1,122.02	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $8,128.31	Facility		$2,630.27	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,258.93 / $1,737.80	Facility		$165.96	$1,258.93	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,659.59	Professional		$851.14	$1,348.96	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,737.80	Facility		$1,071.52	$1,122.02	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,348.96	Professional		$954.99	$954.99	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $549.54 / $1,096.48	Facility		$69.18	$549.54	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,318.26	Professional		$660.69	$831.76	$1,318.26