Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.02 / $1,488.02 / $1,607.06	Facility		$1,488.02	$1,488.02	$1,607.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.02 / $1,607.06 / $2,976.03	Professional		$1,488.02	$1,607.06	$2,976.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,023.70 / $2,023.70 / $2,023.70	Professional		$2,023.70	$2,023.70	$2,023.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,398.71 / $3,398.71 / $3,398.71	Facility		$3,398.71	$3,398.71	$3,398.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,571.77	Facility		$2,571.77	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $2,571.77	Professional		$1,877.39	$1,877.39	$2,571.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,678.97 / $16,090.64 / $16,090.64	Facility		$6,678.97	$16,090.64	$16,090.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,470.80 / $17,890.11 / $23,031.75	Professional		$17,470.80	$17,890.11	$23,031.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $2,368.57 / $3,398.71	Facility		$989.06	$2,368.57	$3,398.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.22 / $3,058.84 / $3,464.68	Professional		$1,000.22	$3,058.84	$3,464.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $2,384.46 / $3,398.71	Facility		$989.06	$2,384.46	$3,398.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $2,648.92	Professional		$1,877.39	$1,877.39	$2,648.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.70 / $1,888.66 / $2,308.31	Professional		$1,276.70	$1,888.66	$2,308.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,858.23 / $1,876.10 / $3,398.71	Professional		$1,858.23	$1,876.10	$3,398.71