Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,767.00 / $12,281.00	Facility		$1,004.00	$3,767.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,888.42 / $3,888.42 / $4,012.80	Professional		$3,888.42	$3,888.42	$4,012.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,850.00 / $12,424.61 / $24,123.11	Facility		$6,850.00	$12,424.61	$24,123.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,491.31 / $10,491.31 / $10,491.31	Facility		$10,491.31	$10,491.31	$10,491.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,224.91 / $11,224.91 / $11,224.91	Facility		$11,224.91	$11,224.91	$11,224.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $4,012.80 / $11,036.89	Facility		$3,888.42	$4,012.80	$11,036.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.00 / $5,478.00 / $10,096.00	Professional		$5,478.00	$5,478.00	$10,096.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $4,082.84 / $11,036.89	Facility		$3,888.42	$4,082.84	$11,036.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $46.10	Professional		$34.15	$34.15	$46.10