Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,148.15	Facility		$1,122.02	$1,122.02	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,862.09	Professional		$1,023.29	$1,202.26	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,511.89 / $2,511.89	Facility		$79.43	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,982.44 / $16,982.44	Professional		$16,595.87	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $3,235.94	Facility		$1,071.52	$1,995.26	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,818.38	Professional		$1,047.13	$1,258.93	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Professional		$1,412.54	$1,412.54	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $3,388.44	Facility		$1,071.52	$1,905.46	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,630.27	Facility		$724.44	$1,148.15	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,621.81	Professional		$954.99	$1,380.38	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89