Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.09 / $1,304.09 / $1,408.42	Facility		$1,304.09	$1,304.09	$1,408.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.09 / $1,408.42 / $2,608.19	Professional		$1,304.09	$1,408.42	$2,608.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,773.57 / $1,773.57 / $1,773.57	Professional		$1,773.57	$1,773.57	$1,773.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,978.62 / $2,978.62 / $2,978.62	Facility		$2,978.62	$2,978.62	$2,978.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $1,902.78	Professional		$1,389.03	$1,389.03	$1,902.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,444.00 / $18,629.07 / $18,629.07	Facility		$15,444.00	$18,629.07	$18,629.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,825.16 / $18,825.16 / $22,060.73	Professional		$18,825.16	$18,825.16	$22,060.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.36 / $2,131.87 / $2,978.62	Facility		$947.36	$2,131.87	$2,978.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $958.05 / $2,681.68 / $2,978.62	Professional		$958.05	$2,681.68	$2,978.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.36 / $1,990.24 / $2,978.62	Facility		$947.36	$1,990.24	$2,978.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $1,959.86	Professional		$1,389.03	$1,389.03	$1,959.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.88 / $1,809.03 / $2,210.98	Professional		$1,222.88	$1,809.03	$2,210.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,779.88 / $1,788.71 / $2,978.62	Professional		$1,779.88	$1,788.71	$2,978.62