Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.33 / $1,934.33 / $2,089.08	Facility		$1,934.33	$1,934.33	$2,089.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.33 / $2,089.08 / $3,868.66	Professional		$1,934.33	$2,089.08	$3,868.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.69 / $2,630.69 / $2,630.69	Professional		$2,630.69	$2,630.69	$2,630.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,418.12 / $4,418.12 / $4,418.12	Facility		$4,418.12	$4,418.12	$4,418.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,001.57	Professional		$2,191.15	$2,191.15	$3,001.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,344.70 / $21,089.02 / $22,464.46	Facility		$10,344.70	$21,089.02	$22,464.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,129.32 / $26,129.32 / $30,206.70	Professional		$26,129.32	$26,129.32	$30,206.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,249.10 / $3,783.49 / $4,473.33	Facility		$2,249.10	$3,783.49	$4,473.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,899.65 / $4,064.67 / $5,278.65	Professional		$2,899.65	$4,064.67	$5,278.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,539.19 / $3,001.57 / $4,622.17	Facility		$2,539.19	$3,001.57	$4,622.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,938.34	Professional		$2,191.15	$2,191.15	$3,938.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,645.92 / $2,434.85 / $3,043.56	Professional		$1,645.92	$2,434.85	$3,043.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,472.30 / $3,043.56 / $4,418.12	Professional		$2,472.30	$3,043.56	$4,418.12