Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.48 / $1,132.25 / $1,154.03	Facility		$1,110.48	$1,132.25	$1,154.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.16 / $1,154.03 / $1,872.57	Professional		$1,045.16	$1,154.03	$1,872.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.42 / $1,183.42 / $1,183.42	Professional		$1,183.42	$1,183.42	$1,183.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,486.66 / $2,486.66 / $2,486.66	Facility		$2,486.66	$2,486.66	$2,486.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,499.97	Professional		$1,094.98	$1,094.98	$1,499.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,177.72 / $12,090.55 / $14,485.79	Facility		$5,177.72	$12,090.55	$14,485.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,368.35 / $16,761.20 / $17,154.23	Professional		$16,368.35	$16,761.20	$17,154.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $1,720.52 / $2,486.66	Facility		$736.66	$1,720.52	$2,486.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $736.66 / $2,237.98 / $2,739.43	Professional		$736.66	$2,237.98	$2,739.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $1,661.52 / $2,486.66	Facility		$736.66	$1,661.52	$2,486.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,599.03	Professional		$1,094.98	$1,094.98	$1,599.03
United Facility/Professional Professional Modifier Low / Median / High Price $950.90 / $1,357.31 / $1,637.03	Professional		$950.90	$1,357.31	$1,637.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,339.39 / $1,370.30 / $2,486.66	Professional		$1,339.39	$1,370.30	$2,486.66