Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,862.09	Facility		$1,698.24	$1,698.24	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,388.44	Professional		$1,479.11	$1,905.46	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,981.07 / $3,981.07	Facility		$79.43	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility		$20,892.96	$20,892.96	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $33,113.11 / $33,113.11	Professional		$21,379.62	$33,113.11	$33,113.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $4,897.79	Facility		$1,698.24	$3,235.94	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,365.16	Professional		$1,513.56	$1,995.26	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,238.72	Professional		$2,187.76	$2,187.76	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $4,897.79	Facility		$1,698.24	$3,019.95	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $3,801.89	Facility		$1,258.93	$2,290.87	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,511.89	Professional		$1,380.38	$2,041.74	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07