Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.69 / $3,894.00 / $13,004.00	Facility		$1,146.69	$3,894.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.16 / $1,215.28 / $1,885.40	Professional		$1,091.16	$1,215.28	$1,885.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.00 / $7,518.32 / $14,454.58	Facility		$4,149.00	$7,518.32	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.88 / $1,178.27 / $1,567.80	Professional		$930.88	$1,178.27	$1,567.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,039.83 / $1,039.83 / $1,058.07	Facility		$1,039.83	$1,039.83	$1,058.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.20 / $1,466.04 / $2,189.35	Professional		$1,148.20	$1,466.04	$2,189.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,631.98 / $8,754.48 / $10,142.93	Professional		$8,631.98	$8,754.48	$10,142.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.08 / $1,343.85 / $1,869.31	Facility		$1,117.08	$1,343.85	$1,869.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.44 / $1,864.70 / $2,330.88	Professional		$1,165.44	$1,864.70	$2,330.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.08 / $1,357.06 / $2,038.91	Facility		$1,117.08	$1,357.06	$2,038.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.20 / $1,544.19 / $2,271.87	Professional		$1,148.20	$1,544.19	$2,271.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,237.00	Facility		$2,093.00	$6,000.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $931.43 / $1,244.81 / $1,811.66	Professional		$931.43	$1,244.81	$1,811.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $994.67 / $1,130.88 / $1,569.55	Professional		$994.67	$1,130.88	$1,569.55