Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.54 / $2,260.00 / $2,303.46	Facility		$2,216.54	$2,260.00	$2,303.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,086.16 / $2,303.46 / $3,737.70	Professional		$2,086.16	$2,303.46	$3,737.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,362.14 / $2,955.39 / $2,955.39	Professional		$2,362.14	$2,955.39	$2,955.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,963.43 / $4,963.43 / $4,963.43	Facility		$4,963.43	$4,963.43	$4,963.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $2,012.35	Professional		$2,012.35	$2,012.35	$2,012.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,294.48 / $22,996.26 / $22,996.26	Facility		$8,294.48	$22,996.26	$22,996.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,906.67 / $24,906.67 / $36,141.23	Professional		$24,906.67	$24,906.67	$36,141.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,420.87 / $3,459.05 / $4,963.43	Facility		$1,420.87	$3,459.05	$4,963.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.87 / $4,467.10 / $4,963.43	Professional		$1,420.87	$4,467.10	$4,963.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.87 / $2,981.06 / $4,963.43	Facility		$1,420.87	$2,981.06	$4,963.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $4,006.78	Professional		$2,012.35	$2,012.35	$4,006.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,834.10 / $2,652.29 / $3,157.49	Professional		$1,834.10	$2,652.29	$3,157.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,643.02 / $2,828.47 / $4,963.43	Professional		$2,643.02	$2,828.47	$4,963.43