Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $14,125.38	Facility		$1,288.25	$4,365.16	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $7,079.46 / $8,912.51	Professional		$891.25	$7,079.46	$8,912.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $25,118.86 / $50,118.72	Facility		$13,182.57	$25,118.86	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Cigna 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
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $87,096.36 / $87,096.36	Facility		$87,096.36	$87,096.36	$87,096.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $79,432.82 / $95,499.26 / $95,499.26	Professional		$79,432.82	$95,499.26	$95,499.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,466.84 / $14,454.40	Facility		$977.24	$4,466.84	$14,454.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $8,317.64 / $10,964.78	Professional		$1,096.48	$8,317.64	$10,964.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $9,120.11 / $18,197.01	Facility		$891.25	$9,120.11	$18,197.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $11,481.54 / $21,379.62	Professional		$1,318.26	$11,481.54	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,988.33	Facility		$4,365.16	$10,964.78	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,513.56	Professional		$602.56	$831.76	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31