Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.13 / $1,483.13 / $1,601.78	Facility		$1,483.13	$1,483.13	$1,601.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.48 / $1,601.78 / $2,966.25	Professional		$1,364.48	$1,601.78	$2,966.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.16 / $1,612.16 / $2,017.05	Professional		$1,612.16	$1,612.16	$2,017.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $972.16 / $972.16 / $3,387.54	Facility		$972.16	$972.16	$3,387.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,769.18	Professional		$1,291.50	$1,291.50	$1,769.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,790.81 / $17,834.59 / $17,834.59	Facility		$14,790.81	$17,834.59	$17,834.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,022.32 / $18,022.32 / $23,339.85	Professional		$18,022.32	$18,022.32	$23,339.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $2,360.80 / $3,387.54	Facility		$911.89	$2,360.80	$3,387.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $922.18 / $3,048.79 / $3,387.54	Professional		$922.18	$3,048.79	$3,387.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $2,263.46 / $3,387.54	Facility		$911.89	$2,263.46	$3,387.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,886.03	Professional		$1,291.50	$1,291.50	$1,886.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.09 / $1,741.31 / $2,156.44	Professional		$1,177.09	$1,741.31	$2,156.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,713.25 / $1,806.78 / $3,387.54	Professional		$1,713.25	$1,806.78	$3,387.54