Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,792.00 / $13,401.00	Facility		$1,068.00	$3,792.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,876.28 / $2,099.19 / $2,322.27	Professional		$1,876.28	$2,099.19	$2,322.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.07 / $489.07 / $489.07	Professional		$489.07	$489.07	$489.07
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 $2,520.26 / $2,520.26 / $2,520.26	Facility		$2,520.26	$2,520.26	$2,520.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,495.89 / $10,495.89 / $10,495.89	Professional		$10,495.89	$10,495.89	$10,495.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,128.64 / $40,539.68 / $41,699.68	Facility		$33,128.64	$40,539.68	$41,699.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,929.84 / $16,382.08 / $19,085.48	Professional		$15,929.84	$16,382.08	$19,085.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,062.17 / $2,430.10 / $4,452.34	Facility		$2,062.17	$2,430.10	$4,452.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.57 / $2,110.57 / $2,110.57	Professional		$2,110.57	$2,110.57	$2,110.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,899.51 / $2,520.26 / $4,452.34	Facility		$1,899.51	$2,520.26	$4,452.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,110.57 / $2,890.59 / $10,495.89	Professional		$2,110.57	$2,890.59	$10,495.89
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,726.89 / $2,360.60 / $3,828.00	Professional		$1,726.89	$2,360.60	$3,828.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,962.79 / $1,962.79 / $2,649.77	Professional		$1,962.79	$1,962.79	$2,649.77