Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.66 / $1,717.66 / $1,855.07	Facility		$1,717.66	$1,717.66	$1,855.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.25 / $1,855.07 / $3,435.32	Professional		$1,580.25	$1,855.07	$3,435.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,336.02 / $2,336.02 / $2,336.02	Professional		$2,336.02	$2,336.02	$2,336.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,923.23 / $3,923.23 / $3,923.23	Facility		$3,923.23	$3,923.23	$3,923.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $2,637.76	Facility		$2,637.76	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $2,637.76	Professional		$1,925.56	$1,925.56	$2,637.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,548.22 / $20,995.52 / $20,995.52	Facility		$17,548.22	$20,995.52	$20,995.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,251.69 / $21,251.69 / $33,150.83	Professional		$21,251.69	$21,251.69	$33,150.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,067.70 / $2,734.11 / $3,923.23	Facility		$1,067.70	$2,734.11	$3,923.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.75 / $3,530.91 / $4,293.27	Professional		$1,079.75	$3,530.91	$4,293.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.70 / $2,637.76 / $3,923.23	Facility		$1,067.70	$2,637.76	$3,923.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $2,716.89	Professional		$1,925.56	$1,925.56	$2,716.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.22 / $2,038.83 / $2,542.75	Professional		$1,378.22	$2,038.83	$2,542.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,005.99 / $2,025.27 / $3,923.23	Professional		$2,005.99	$2,025.27	$3,923.23