Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,989.66 / $1,989.66 / $2,148.83	Facility		$1,989.66	$1,989.66	$2,148.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,982.49 / $2,148.83 / $3,979.31	Professional		$1,982.49	$2,148.83	$3,979.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,162.76 / $2,162.76 / $2,705.93	Professional		$2,162.76	$2,162.76	$2,705.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,544.47 / $4,544.47 / $4,544.47	Facility		$4,544.47	$4,544.47	$4,544.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $1,991.56	Professional		$1,991.56	$1,991.56	$1,991.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,802.65 / $22,879.56 / $22,879.56	Facility		$20,802.65	$22,879.56	$22,879.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,201.14 / $24,201.14 / $29,750.55	Professional		$24,201.14	$24,201.14	$29,750.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,277.01 / $3,167.07 / $4,544.47	Facility		$1,277.01	$3,167.07	$4,544.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.43 / $4,090.03 / $4,889.12	Professional		$1,291.43	$4,090.03	$4,889.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.01 / $3,036.50 / $4,544.47	Facility		$1,277.01	$3,036.50	$4,544.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $4,065.22	Professional		$1,991.56	$1,991.56	$4,065.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,648.40 / $2,438.53 / $3,027.00	Professional		$1,648.40	$2,438.53	$3,027.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,396.26 / $2,399.23 / $4,544.47	Professional		$2,396.26	$2,399.23	$4,544.47