Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,776.44 / $4,897.37 / $6,505.46	Professional		$3,776.44	$4,897.37	$6,505.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.85 / $588.85 / $588.85	Professional		$588.85	$588.85	$588.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,969.67 / $4,969.67 / $4,969.67	Facility		$4,969.67	$4,969.67	$4,969.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,442.61 / $5,470.13 / $5,470.13	Facility		$5,442.61	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.96 / $5,470.13 / $5,578.68	Professional		$651.96	$5,470.13	$5,578.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,602.76 / $7,602.76	Facility		$100.00	$7,602.76	$7,602.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,263.12 / $4,969.67 / $6,505.46	Facility		$4,263.12	$4,969.67	$6,505.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $685.81 / $745.45 / $8,863.79	Professional		$685.81	$745.45	$8,863.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,263.12 / $4,969.67 / $6,505.46	Facility		$4,263.12	$4,969.67	$6,505.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.88 / $5,470.13 / $5,470.13	Professional		$585.88	$5,470.13	$5,470.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,303.23 / $2,924.52 / $5,208.41	Professional		$2,303.23	$2,924.52	$5,208.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,388.00 / $4,388.00 / $7,193.22	Professional		$4,388.00	$4,388.00	$7,193.22