Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,248.07 / $15,848.93	Facility		$2,290.87	$5,248.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $3,019.95	Professional		$2,187.76	$2,691.53	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,309.57 / $15,848.93	Facility		$2,290.87	$6,309.57	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $1,862.09 / $5,011.87	Professional		$35.48	$1,862.09	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $6,606.93	Facility		$2,570.40	$3,548.13	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $3,548.13	Professional		$2,344.23	$2,884.03	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $8,709.64	Facility		$2,344.23	$3,548.13	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $1,862.09 / $3,630.78	Professional		$35.48	$1,862.09	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,548.13	Facility		$1,258.93	$1,659.59	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,548.13	Professional		$1,479.11	$1,479.11	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,548.13	Professional		$1,122.02	$1,122.02	$3,548.13