Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.77 / $1,493.77 / $1,613.27	Facility		$1,493.77	$1,493.77	$1,613.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,374.56 / $1,613.27 / $2,987.53	Professional		$1,374.56	$1,613.27	$2,987.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,031.52 / $2,031.52 / $2,031.52	Professional		$2,031.52	$2,031.52	$2,031.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,411.85 / $3,411.85 / $3,411.85	Facility		$3,411.85	$3,411.85	$3,411.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,743.07	Facility		$1,743.07	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $1,272.44	Professional		$1,272.44	$1,272.44	$1,272.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,630.94 / $15,327.35 / $15,327.35	Facility		$14,630.94	$15,327.35	$15,327.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,888.66 / $16,888.66 / $22,814.25	Professional		$16,888.66	$16,888.66	$22,814.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $2,377.71 / $3,411.85	Facility		$898.44	$2,377.71	$3,411.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $908.58 / $3,070.67 / $3,411.85	Professional		$908.58	$3,070.67	$3,411.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $2,279.69 / $3,411.85	Facility		$898.44	$2,279.69	$3,411.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $2,788.37	Professional		$1,272.44	$1,272.44	$2,788.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.73 / $1,715.63 / $2,129.64	Professional		$1,159.73	$1,715.63	$2,129.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,687.98 / $1,696.36 / $3,411.85	Professional		$1,687.98	$1,696.36	$3,411.85