Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.62 / $1,847.62 / $1,995.42	Facility		$1,847.62	$1,847.62	$1,995.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.81 / $1,988.34 / $3,695.23	Professional		$1,699.81	$1,988.34	$3,695.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,008.36 / $2,008.36 / $2,512.76	Professional		$2,008.36	$2,008.36	$2,512.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,220.06 / $4,220.06 / $4,220.06	Facility		$4,220.06	$4,220.06	$4,220.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $2,482.86	Professional		$1,812.49	$1,812.49	$2,482.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,791.44 / $17,674.86 / $20,966.93	Facility		$7,791.44	$17,674.86	$20,966.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,536.86 / $23,077.76 / $26,583.68	Professional		$22,536.86	$23,077.76	$26,583.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $2,940.97 / $4,220.06	Facility		$1,066.25	$2,940.97	$4,220.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.28 / $3,798.05 / $4,414.09	Professional		$1,078.28	$3,798.05	$4,414.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $2,819.72 / $4,220.06	Facility		$1,066.25	$2,819.72	$4,220.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $2,646.85	Professional		$1,812.49	$1,812.49	$2,646.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,272.54 / $2,202.14 / $2,545.08	Facility		$1,272.54	$2,202.14	$2,545.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.34 / $2,036.06 / $2,505.88	Professional		$1,376.34	$2,036.06	$2,505.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,988.34 / $2,003.25 / $4,220.06	Professional		$1,988.34	$2,003.25	$4,220.06