Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.86 / $1,564.86 / $2,145.46	Professional		$1,237.86	$1,564.86	$2,145.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,263.23 / $7,404.52 / $8,441.89	Facility		$2,263.23	$7,404.52	$8,441.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $172.17 / $172.17	Professional		$130.19	$172.17	$172.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,639.01 / $2,639.01 / $2,639.01	Facility		$2,639.01	$2,639.01	$2,639.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.08 / $2,217.64 / $2,217.64	Facility		$2,204.08	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $2,269.14	Professional		$1,884.99	$2,217.64	$2,269.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,433.54 / $12,404.85 / $12,535.30	Facility		$4,433.54	$12,404.85	$12,535.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,775.06 / $2,639.01	Facility		$1,613.67	$1,775.06	$2,639.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $2,236.67 / $2,639.01	Professional		$263.89	$2,236.67	$2,639.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,779.79 / $2,639.01	Facility		$1,613.67	$1,779.79	$2,639.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $2,259.17	Professional		$1,884.99	$2,217.64	$2,259.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.85 / $1,288.57 / $1,971.51	Professional		$1,024.85	$1,288.57	$1,971.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,815.13 / $2,024.42 / $2,024.42	Professional		$1,815.13	$2,024.42	$2,024.42