Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $4,365.16	Professional		$2,398.83	$3,467.37	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $398.11	Professional		$302.00	$398.11	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,388.44	Facility		$3,311.31	$3,311.31	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $3,630.78	Facility		$2,630.27	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,090.30 / $3,630.78	Professional		$436.52	$3,090.30	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,248.07 / $5,248.07	Facility		$100.00	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,090.30 / $4,365.16	Facility		$478.63	$3,090.30	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $4,365.16	Professional		$2,570.40	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $457.09 / $4,168.69	Professional		$138.04	$457.09	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $4,365.16	Facility		$2,951.21	$3,388.44	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $3,630.78	Professional		$2,089.30	$3,090.30	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $2,951.21	Facility		$234.42	$467.74	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,548.13	Professional		$1,548.82	$2,041.74	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21