Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,659.33 / $4,764.04 / $6,144.92	Professional		$3,659.33	$4,764.04	$6,144.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.14 / $564.14 / $564.14	Professional		$564.14	$564.14	$564.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,934.72 / $4,934.72 / $4,934.72	Facility		$4,934.72	$4,934.72	$4,934.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,346.20 / $5,587.01 / $5,587.01	Facility		$5,346.20	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,748.96 / $5,587.01 / $5,587.01	Professional		$4,748.96	$5,587.01	$5,587.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,464.83 / $6,464.83	Facility		$100.00	$6,464.83	$6,464.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.21 / $3,625.04 / $5,783.52	Facility		$740.21	$3,625.04	$5,783.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.99 / $5,372.55 / $7,229.40	Professional		$680.99	$5,372.55	$7,229.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.21 / $3,625.04 / $5,587.01	Facility		$740.21	$3,625.04	$5,587.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $5,587.01 / $5,587.01	Professional		$615.05	$5,587.01	$5,587.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,073.23 / $2,854.88 / $4,428.85	Professional		$2,073.23	$2,854.88	$4,428.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,917.60 / $3,917.60 / $6,116.25	Professional		$3,917.60	$3,917.60	$6,116.25