Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.19 / $1,134.00 / $1,155.81	Facility		$1,112.19	$1,134.00	$1,155.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.77 / $1,155.81 / $1,875.46	Professional		$1,046.77	$1,155.81	$1,875.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.92 / $1,482.92 / $1,482.92	Professional		$1,482.92	$1,482.92	$1,482.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,490.50 / $2,490.50 / $2,490.50	Facility		$2,490.50	$2,490.50	$2,490.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,549.06	Professional		$1,130.81	$1,130.81	$1,549.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,352.48 / $12,388.80 / $14,901.61	Facility		$5,352.48	$12,388.80	$14,901.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,058.46 / $15,058.46 / $17,732.48	Professional		$15,058.46	$15,058.46	$17,732.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $757.80 / $1,723.17 / $2,490.50	Facility		$757.80	$1,723.17	$2,490.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $757.80 / $2,241.44 / $2,572.55	Professional		$757.80	$2,241.44	$2,572.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.80 / $1,664.08 / $2,490.50	Facility		$757.80	$1,664.08	$2,490.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,595.53	Professional		$1,130.81	$1,130.81	$1,595.53
United Facility/Professional Professional Modifier Low / Median / High Price $978.19 / $1,414.57 / $1,684.01	Professional		$978.19	$1,414.57	$1,684.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,409.62 / $1,480.00 / $2,490.50	Professional		$1,409.62	$1,480.00	$2,490.50