Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,682.00 / $12,729.00	Facility		$1,068.00	$3,682.00	$12,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.43 / $1,168.80 / $1,302.55	Professional		$1,054.43	$1,168.80	$1,302.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,383.76 / $9,037.00 / $19,142.24	Facility		$5,383.76	$9,037.00	$19,142.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.50 / $1,339.50 / $1,339.50	Facility		$1,339.50	$1,339.50	$1,339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,263.82 / $2,263.82 / $5,578.48	Professional		$2,263.82	$2,263.82	$5,578.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,599.94 / $22,030.06 / $25,239.65	Facility		$6,599.94	$22,030.06	$25,239.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,463.44 / $8,706.79 / $10,142.93	Professional		$8,463.44	$8,706.79	$10,142.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.64 / $1,360.80 / $2,465.33	Facility		$1,156.64	$1,360.80	$2,465.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $1,121.28 / $1,121.28	Professional		$1,121.28	$1,121.28	$1,121.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.28 / $1,385.76 / $2,465.33	Facility		$1,064.28	$1,385.76	$2,465.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $2,263.82 / $5,578.48	Professional		$1,121.28	$2,263.82	$5,578.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.30 / $1,345.13 / $2,137.73	Professional		$974.30	$1,345.13	$2,137.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,186.30 / $2,186.30 / $2,951.51	Professional		$2,186.30	$2,186.30	$2,951.51