Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.43 / $1,052.67 / $1,072.92	Facility		$1,032.43	$1,052.67	$1,072.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.18 / $1,072.92 / $1,740.96	Professional		$991.18	$1,072.92	$1,740.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.25 / $1,100.25 / $1,100.25	Professional		$1,100.25	$1,100.25	$1,100.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,311.88 / $2,311.88 / $2,311.88	Facility		$2,311.88	$2,311.88	$2,311.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,703.99	Professional		$1,243.91	$1,243.91	$1,703.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,869.16 / $11,712.03 / $14,424.99	Facility		$4,869.16	$11,712.03	$14,424.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,576.83 / $14,576.83 / $17,082.23	Professional		$14,576.83	$14,576.83	$17,082.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $1,611.18 / $2,311.88	Facility		$733.56	$1,611.18	$2,311.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $733.56 / $2,080.69 / $2,311.88	Professional		$733.56	$2,080.69	$2,311.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $1,611.18 / $2,311.88	Facility		$733.56	$1,611.18	$2,311.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,755.11	Professional		$1,243.91	$1,243.91	$1,755.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $946.91 / $1,351.61 / $1,630.14	Professional		$946.91	$1,351.61	$1,630.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,364.53 / $1,387.19 / $2,311.88	Professional		$1,364.53	$1,387.19	$2,311.88