Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.13 / $2,314.08 / $2,984.17	Professional		$1,711.13	$2,314.08	$2,984.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $287.27 / $287.27	Professional		$287.27	$287.27	$287.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,193.33 / $2,193.33 / $2,193.33	Facility		$2,193.33	$2,193.33	$2,193.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.42 / $2,416.31 / $2,416.31	Facility		$2,253.42	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $2,416.31 / $2,416.31	Professional		$288.01	$2,416.31	$2,416.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,744.63 / $3,744.63	Facility		$100.00	$3,744.63	$3,744.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $2,099.67 / $2,984.17	Facility		$329.00	$2,099.67	$2,984.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.68 / $3,111.94 / $4,187.89	Professional		$302.68	$3,111.94	$4,187.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $2,099.67 / $2,984.17	Facility		$329.00	$2,099.67	$2,984.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $2,416.31 / $2,416.31	Professional		$257.99	$2,416.31	$2,416.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.84 / $1,465.36 / $2,565.32	Professional		$1,023.84	$1,465.36	$2,565.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,583.84 / $2,583.84 / $3,543.05	Professional		$2,583.84	$2,583.84	$3,543.05