Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,995.26	Professional		$1,318.26	$1,584.89	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
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 $2,691.53 / $2,691.53 / $3,235.94	Professional		$2,691.53	$2,691.53	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $16,595.87	Professional		$10,964.78	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,467.37	Facility		$1,737.80	$2,238.72	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,238.72	Professional		$1,318.26	$1,778.28	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,801.89	Facility		$1,548.82	$2,238.72	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $3,890.45	Professional		$2,344.23	$2,454.71	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,584.89	Professional		$933.25	$933.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $2,238.72	Professional		$331.13	$331.13	$2,238.72