Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.47 / $4,045.00 / $10,403.00	Facility		$1,034.47	$4,045.00	$10,403.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.92 / $1,225.48 / $1,656.60	Professional		$861.92	$1,225.48	$1,656.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,548.97 / $24,388.15 / $48,935.71	Facility		$13,548.97	$24,388.15	$48,935.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.07 / $1,306.80 / $2,034.04	Professional		$1,112.07	$1,306.80	$2,034.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,125.16 / $1,125.16 / $1,125.16	Facility		$1,125.16	$1,125.16	$1,125.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,398.00 / $19,085.00 / $36,562.00	Facility		$12,398.00	$19,085.00	$36,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.89 / $1,716.49 / $2,493.88	Professional		$1,364.89	$1,716.49	$2,493.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,205.17 / $15,936.25 / $16,357.99	Facility		$13,205.17	$15,936.25	$16,357.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,915.00 / $25,915.00 / $25,915.00	Professional		$25,915.00	$25,915.00	$25,915.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.70 / $1,572.28 / $2,788.05	Facility		$1,196.70	$1,572.28	$2,788.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.14 / $1,882.08 / $2,258.50	Professional		$1,631.14	$1,882.08	$2,258.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.52 / $1,631.27 / $19,035.00	Facility		$1,217.52	$1,631.27	$19,035.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,340.84 / $1,742.49 / $2,581.94	Professional		$1,340.84	$1,742.49	$2,581.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $10,235.00 / $32,177.00	Facility		$5,470.00	$10,235.00	$32,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.42 / $1,448.24 / $2,299.10	Professional		$1,112.42	$1,448.24	$2,299.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,070.86 / $1,227.10 / $1,678.14	Professional		$1,070.86	$1,227.10	$1,678.14