Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.86 / $2,012.35 / $2,673.12	Professional		$1,591.86	$2,012.35	$2,673.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $245.10 / $245.10	Professional		$185.32	$245.10	$245.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,108.67 / $2,108.67 / $2,108.67	Facility		$2,108.67	$2,108.67	$2,108.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $2,225.09	Professional		$1,891.33	$2,225.09	$2,225.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,048.11 / $16,659.23 / $17,266.63	Facility		$6,048.11	$16,659.23	$17,266.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.30 / $1,640.40 / $2,673.12	Facility		$316.30	$1,640.40	$2,673.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $2,431.21 / $3,271.50	Professional		$291.00	$2,431.21	$3,271.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.30 / $1,640.40 / $2,673.12	Facility		$316.30	$1,640.40	$2,673.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $2,225.09 / $2,225.09	Professional		$246.17	$2,225.09	$2,225.09
United Facility/Professional Professional Modifier Low / Median / High Price $922.14 / $1,243.16 / $2,004.16	Professional		$922.14	$1,243.16	$2,004.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,245.57 / $2,245.57 / $2,767.80	Professional		$2,245.57	$2,245.57	$2,767.80