Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.98 / $2,175.98 / $2,350.06	Facility		$2,175.98	$2,175.98	$2,350.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,005.89 / $2,350.06 / $4,351.96	Professional		$2,005.89	$2,350.06	$4,351.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,959.33 / $2,959.33 / $2,959.33	Professional		$2,959.33	$2,959.33	$2,959.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,970.07 / $4,970.07 / $4,970.07	Facility		$4,970.07	$4,970.07	$4,970.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $3,249.00	Professional		$2,371.77	$2,371.77	$3,249.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,345.83 / $26,694.24 / $26,694.24	Facility		$22,345.83	$26,694.24	$26,694.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,975.23 / $27,227.75 / $35,111.10	Professional		$26,975.23	$27,227.75	$35,111.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.50 / $3,463.65 / $4,970.07	Facility		$1,357.50	$3,463.65	$4,970.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.82 / $4,473.06 / $4,970.07	Professional		$1,372.82	$4,473.06	$4,970.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.50 / $3,320.85 / $4,970.07	Facility		$1,357.50	$3,320.85	$4,970.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $3,346.47	Professional		$2,371.77	$2,371.77	$3,346.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.30 / $2,592.21 / $3,217.78	Professional		$1,752.30	$2,592.21	$3,217.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,550.46 / $2,574.31 / $4,970.07	Professional		$2,550.46	$2,574.31	$4,970.07