Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Facility		$3,019.95	$3,019.95	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $5,754.40	Professional		$2,630.27	$3,311.31	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $7,079.46 / $7,079.46	Facility		$79.43	$7,079.46	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,073.80	Professional		$2,951.21	$2,951.21	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $33,113.11 / $33,113.11	Facility		$33,113.11	$33,113.11	$33,113.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,307.81 / $41,686.94 / $41,686.94	Professional		$36,307.81	$41,686.94	$41,686.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $8,709.64	Facility		$2,951.21	$5,495.41	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $7,079.46	Professional		$2,630.27	$3,388.44	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,370.32	Professional		$5,248.07	$5,248.07	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $8,709.64	Facility		$2,951.21	$5,248.07	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,073.80	Professional		$2,951.21	$2,951.21	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $6,456.54	Facility		$2,089.30	$4,168.69	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $4,265.80	Professional		$2,344.23	$3,467.37	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46