Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,043.92 / $3,043.92 / $3,287.43	Facility		$3,043.92	$3,043.92	$3,287.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,870.78 / $3,287.43 / $6,087.83	Professional		$2,870.78	$3,287.43	$6,087.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,139.72 / $4,139.72 / $4,139.72	Professional		$4,139.72	$4,139.72	$4,139.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,952.47 / $6,952.47 / $6,952.47	Facility		$6,952.47	$6,952.47	$6,952.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $4,052.23	Professional		$2,958.13	$2,958.13	$4,052.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,802.90 / $33,201.65 / $33,201.65	Facility		$29,802.90	$33,201.65	$33,201.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,484.17 / $36,484.17 / $41,865.68	Professional		$36,484.17	$36,484.17	$41,865.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.85 / $4,845.20 / $6,952.47	Facility		$1,797.85	$4,845.20	$6,952.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.14 / $6,257.22 / $7,370.54	Professional		$1,818.14	$6,257.22	$7,370.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.85 / $4,645.45 / $6,952.47	Facility		$1,797.85	$4,645.45	$6,952.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $4,173.80	Professional		$2,958.13	$2,958.13	$4,173.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,320.71 / $3,433.09 / $4,261.57	Professional		$2,320.71	$3,433.09	$4,261.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,377.77 / $3,643.96 / $6,952.47	Professional		$3,377.77	$3,643.96	$6,952.47