Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.91 / $1,455.91 / $1,572.38	Facility		$1,455.91	$1,455.91	$1,572.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.14 / $1,572.38 / $2,911.82	Professional		$1,373.14	$1,572.38	$2,911.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.58 / $1,980.04 / $1,980.04	Professional		$1,582.58	$1,980.04	$1,980.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,325.38 / $3,325.38 / $3,325.38	Facility		$3,325.38	$3,325.38	$3,325.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,289.62	Facility		$2,289.62	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $1,671.42	Professional		$1,671.42	$1,671.42	$1,671.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,617.77 / $18,273.58 / $18,273.58	Facility		$15,617.77	$18,273.58	$18,273.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,465.93 / $18,465.93 / $24,014.18	Professional		$18,465.93	$18,465.93	$24,014.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $929.28 / $2,317.46 / $3,325.38	Facility		$929.28	$2,317.46	$3,325.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.77 / $2,992.84 / $3,325.38	Professional		$939.77	$2,992.84	$3,325.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.28 / $2,289.62 / $3,325.38	Facility		$929.28	$2,289.62	$3,325.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $2,602.67	Professional		$1,671.42	$1,671.42	$2,602.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.54 / $1,774.51 / $2,168.80	Professional		$1,199.54	$1,774.51	$2,168.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,745.92 / $1,748.40 / $3,325.38	Professional		$1,745.92	$1,748.40	$3,325.38