Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $2,951.21	Professional		$1,230.27	$2,238.72	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,120.11 / $18,197.01	Facility		$3,801.89	$9,120.11	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $9,120.11	Professional		$1,698.24	$2,344.23	$9,120.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $16,595.87 / $16,595.87	Professional		$14,125.38	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,187.76 / $5,011.87	Facility		$489.78	$2,187.76	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $2,951.21	Professional		$1,258.93	$2,238.72	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $4,265.80	Facility		$1,230.27	$2,454.71	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $9,120.11	Professional		$1,698.24	$1,905.46	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,148.15 / $2,137.96	Professional		$457.09	$1,148.15	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,698.24	Professional		$1,584.89	$1,698.24	$1,698.24