Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,307.73 / $3,177.11 / $4,098.01	Professional		$2,307.73	$3,177.11	$4,098.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.88 / $1,273.32 / $1,868.28	Facility		$500.88	$1,273.32	$1,868.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.67 / $380.74 / $380.74	Professional		$342.67	$380.74	$380.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,025.40 / $3,025.40 / $3,025.40	Facility		$3,025.40	$3,025.40	$3,025.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,428.15	Facility		$3,349.85	$3,349.85	$3,428.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $3,349.85 / $3,513.85	Professional		$399.28	$3,349.85	$3,513.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,102.45 / $5,102.45	Facility		$100.00	$5,102.45	$5,102.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,762.70 / $3,025.40 / $4,565.04	Facility		$2,762.70	$3,025.40	$4,565.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.51 / $2,052.96 / $5,948.90	Professional		$417.51	$2,052.96	$5,948.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,762.70 / $3,025.40 / $4,098.01	Facility		$2,762.70	$3,025.40	$4,098.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $3,349.85 / $3,349.85	Professional		$356.67	$3,349.85	$3,349.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,451.10 / $1,903.90 / $3,495.53	Professional		$1,451.10	$1,903.90	$3,495.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,715.41 / $2,715.41 / $4,827.70	Professional		$2,715.41	$2,715.41	$4,827.70