Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,964.76 / $2,964.76 / $3,201.94	Facility		$2,964.76	$2,964.76	$3,201.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,945.79 / $3,201.94 / $5,929.52	Professional		$2,945.79	$3,201.94	$5,929.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,032.07 / $4,032.07 / $4,032.07	Professional		$4,032.07	$4,032.07	$4,032.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,771.68 / $6,771.68 / $6,771.68	Facility		$6,771.68	$6,771.68	$6,771.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $4,366.38	Professional		$3,187.46	$3,187.46	$4,366.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,442.82 / $33,390.44 / $39,440.91	Facility		$14,442.82	$33,390.44	$39,440.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45,658.26 / $46,754.06 / $49,888.58	Professional		$45,658.26	$46,754.06	$49,888.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,005.72 / $4,729.89 / $6,771.68	Facility		$2,005.72	$4,729.89	$6,771.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.36 / $6,094.51 / $7,682.31	Professional		$2,028.36	$6,094.51	$7,682.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,005.72 / $4,524.64 / $6,771.68	Facility		$2,005.72	$4,524.64	$6,771.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $4,497.37	Professional		$3,187.46	$3,187.46	$4,497.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,589.04 / $3,830.03 / $4,787.54	Professional		$2,589.04	$3,830.03	$4,787.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,768.32 / $3,804.46 / $6,771.68	Professional		$3,768.32	$3,804.46	$6,771.68