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 $1,938.33 / $2,168.83 / $2,466.51	Professional		$1,938.33	$2,168.83	$2,466.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.03 / $523.03 / $523.03	Professional		$523.03	$523.03	$523.03
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 $2,604.13 / $2,604.13 / $2,604.13	Facility		$2,604.13	$2,604.13	$2,604.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,842.01 / $10,842.01 / $10,842.01	Professional		$10,842.01	$10,842.01	$10,842.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $34,216.00 / $41,870.24 / $43,086.56	Facility		$34,216.00	$41,870.24	$43,086.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,452.64 / $16,926.72 / $19,712.03	Professional		$16,452.64	$16,926.72	$19,712.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,130.04 / $2,510.46 / $4,598.49	Facility		$2,130.04	$2,510.46	$4,598.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.85 / $2,179.85 / $2,179.85	Professional		$2,179.85	$2,179.85	$2,179.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.87 / $2,604.13 / $4,598.49	Facility		$1,961.87	$2,604.13	$4,598.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,179.85 / $2,985.72 / $10,842.01	Professional		$2,179.85	$2,985.72	$10,842.01
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 $1,794.74 / $2,479.13 / $3,937.89	Professional		$1,794.74	$2,479.13	$3,937.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,151.04 / $2,151.04 / $2,903.90	Professional		$2,151.04	$2,151.04	$2,903.90