Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.93 / $1,158.20 / $1,180.47	Facility		$1,135.93	$1,158.20	$1,180.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.10 / $1,180.47 / $1,915.49	Professional		$1,069.10	$1,180.47	$1,915.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.55 / $1,514.57 / $1,514.57	Professional		$1,210.55	$1,514.57	$1,514.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,543.66 / $2,543.66 / $2,543.66	Facility		$2,543.66	$2,543.66	$2,543.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $1,618.14	Facility		$1,618.14	$1,618.14	$1,618.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,181.24 / $1,618.14	Professional		$1,181.24	$1,181.24	$1,618.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,112.04 / $11,530.40 / $11,530.40	Facility		$4,112.04	$11,530.40	$11,530.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,624.95 / $12,624.95 / $18,385.73	Professional		$12,624.95	$12,624.95	$18,385.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.36 / $1,909.66 / $2,543.66	Facility		$710.36	$1,909.66	$2,543.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $710.36 / $2,289.29 / $2,543.66	Professional		$710.36	$2,289.29	$2,543.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.36 / $1,618.14 / $2,543.66	Facility		$710.36	$1,618.14	$2,543.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,181.24 / $1,768.64	Professional		$1,181.24	$1,181.24	$1,768.64
United Facility/Professional Professional Modifier Low / Median / High Price $916.95 / $1,325.99 / $1,578.57	Professional		$916.95	$1,325.99	$1,578.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,321.36 / $1,327.04 / $2,543.66	Professional		$1,321.36	$1,327.04	$2,543.66