Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,961.01 / $3,915.08 / $5,200.63	Professional		$2,961.01	$3,915.08	$5,200.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.86 / $477.86 / $477.86	Professional		$477.86	$477.86	$477.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,896.53 / $3,896.53 / $3,896.53	Facility		$3,896.53	$3,896.53	$3,896.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,350.72	Facility		$4,303.28	$4,303.28	$4,350.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $4,303.28 / $4,320.00	Professional		$512.91	$4,303.28	$4,320.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,305.50 / $6,305.50	Facility		$100.00	$6,305.50	$6,305.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,506.04 / $3,896.54 / $5,641.12	Facility		$3,506.04	$3,896.54	$5,641.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.72 / $584.48 / $7,351.20	Professional		$537.72	$584.48	$7,351.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,506.04 / $3,896.54 / $5,200.63	Facility		$3,506.04	$3,896.54	$5,200.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $4,303.28 / $4,303.28	Professional		$459.38	$4,303.28	$4,303.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,841.44 / $2,485.48 / $4,319.78	Professional		$1,841.44	$2,485.48	$4,319.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,497.21 / $3,497.21 / $5,965.71	Professional		$3,497.21	$3,497.21	$5,965.71