Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.12 / $1,520.12 / $1,641.73	Facility		$1,520.12	$1,520.12	$1,641.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.51 / $1,641.73 / $3,040.24	Professional		$1,398.51	$1,641.73	$3,040.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.37 / $2,067.36 / $2,067.36	Professional		$1,652.37	$2,067.36	$2,067.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,472.04 / $3,472.04 / $3,472.04	Facility		$3,472.04	$3,472.04	$3,472.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,084.13	Professional		$1,521.41	$1,521.41	$2,084.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,469.30 / $15,180.10 / $15,180.10	Facility		$14,469.30	$15,180.10	$15,180.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,186.59 / $17,186.59 / $22,020.60	Professional		$17,186.59	$17,186.59	$22,020.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $2,419.67 / $3,472.04	Facility		$887.16	$2,419.67	$3,472.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.17 / $3,124.84 / $3,472.04	Professional		$897.17	$3,124.84	$3,472.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $2,319.92 / $3,472.04	Facility		$887.16	$2,319.92	$3,472.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,221.79	Professional		$1,521.41	$1,521.41	$2,221.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,058.80 / $1,832.26 / $2,117.59	Facility		$1,058.80	$1,832.26	$2,117.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.16 / $1,694.07 / $2,102.89	Professional		$1,145.16	$1,694.07	$2,102.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,666.78 / $1,722.19 / $3,472.04	Professional		$1,666.78	$1,722.19	$3,472.04