Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.94 / $2,189.94 / $2,365.13	Facility		$2,189.94	$2,189.94	$2,365.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,129.50 / $2,365.13 / $4,379.87	Professional		$2,129.50	$2,365.13	$4,379.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,978.31 / $2,978.31 / $2,978.31	Professional		$2,978.31	$2,978.31	$2,978.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,001.93 / $5,001.93 / $5,001.93	Facility		$5,001.93	$5,001.93	$5,001.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,853.06	Professional		$2,082.73	$2,082.73	$2,853.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,371.76 / $28,917.53 / $28,917.53	Facility		$24,371.76	$28,917.53	$28,917.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,317.74 / $30,317.74 / $34,244.40	Professional		$30,317.74	$30,317.74	$34,244.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.57 / $3,485.87 / $5,001.93	Facility		$1,470.57	$3,485.87	$5,001.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.16 / $4,501.74 / $5,903.59	Professional		$1,487.16	$4,501.74	$5,903.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,470.57 / $3,342.16 / $5,001.93	Facility		$1,470.57	$3,342.16	$5,001.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,938.65	Professional		$2,082.73	$2,082.73	$2,938.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,898.24 / $2,808.13 / $3,432.08	Professional		$1,898.24	$2,808.13	$3,432.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,762.88 / $2,776.59 / $5,001.93	Professional		$2,762.88	$2,776.59	$5,001.93