Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.25 / $2,589.60 / $3,351.12	Professional		$1,901.25	$2,589.60	$3,351.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.16 / $323.16 / $323.16	Professional		$323.16	$323.16	$323.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,443.40 / $2,443.40 / $2,443.40	Facility		$2,443.40	$2,443.40	$2,443.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.80 / $2,671.66 / $2,671.66	Facility		$2,434.80	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $2,671.66 / $2,671.66	Professional		$318.45	$2,671.66	$2,671.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,264.28 / $4,264.28	Facility		$100.00	$4,264.28	$4,264.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.51 / $2,391.12 / $3,351.12	Facility		$366.51	$2,391.12	$3,351.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.19 / $3,543.80 / $4,768.39	Professional		$337.19	$3,543.80	$4,768.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.51 / $2,391.12 / $3,351.12	Facility		$366.51	$2,391.12	$3,351.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $2,671.66 / $2,671.66	Professional		$286.64	$2,671.66	$2,671.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.44 / $1,575.56 / $2,921.40	Professional		$1,134.44	$1,575.56	$2,921.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,852.72 / $2,852.72 / $4,034.19	Professional		$2,852.72	$2,852.72	$4,034.19