Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.52 / $1,825.52 / $1,971.56	Facility		$1,825.52	$1,825.52	$1,971.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,825.52 / $1,984.34 / $3,651.03	Professional		$1,825.52	$1,984.34	$3,651.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,482.69 / $2,482.69 / $2,482.69	Professional		$2,482.69	$2,482.69	$2,482.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,169.58 / $4,169.58 / $4,169.58	Facility		$4,169.58	$4,169.58	$4,169.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,006.81	Professional		$2,194.96	$2,194.96	$3,006.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,435.66 / $22,146.98 / $26,407.34	Facility		$9,435.66	$22,146.98	$26,407.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,149.58 / $27,801.18 / $38,111.55	Professional		$27,149.58	$27,801.18	$38,111.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $2,925.30 / $4,169.58	Facility		$1,342.91	$2,925.30	$4,169.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.07 / $3,801.06 / $4,732.93	Professional		$1,358.07	$3,801.06	$4,732.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $2,984.25 / $4,169.58	Facility		$1,342.91	$2,984.25	$4,169.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,097.01	Professional		$2,194.96	$2,194.96	$3,097.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.47 / $2,564.37 / $3,183.20	Professional		$1,733.47	$2,564.37	$3,183.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,523.05 / $2,547.31 / $4,169.58	Professional		$2,523.05	$2,547.31	$4,169.58