Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.66 / $1,505.49 / $1,625.92	Facility		$1,416.66	$1,505.49	$1,625.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.49 / $1,625.92 / $3,010.97	Professional		$1,505.49	$1,625.92	$3,010.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,912.10 / $2,441.41 / $2,578.96	Professional		$1,912.10	$2,441.41	$2,578.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.46 / $1,636.46 / $2,047.46	Professional		$1,636.46	$1,636.46	$2,047.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,533.73 / $2,533.73 / $3,438.61	Facility		$2,533.73	$2,533.73	$3,438.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Facility		$2,400.00	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,752.00 / $2,400.00	Professional		$1,752.00	$1,752.00	$2,400.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,077.79 / $20,817.16 / $20,817.16	Facility		$17,077.79	$20,817.16	$20,817.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,693.67 / $21,693.67 / $25,111.05	Professional		$21,693.67	$21,693.67	$25,111.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.63 / $2,461.07 / $3,438.61	Facility		$1,058.63	$2,461.07	$3,438.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.58 / $3,094.75 / $4,382.56	Professional		$1,070.58	$3,094.75	$4,382.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,058.63 / $2,400.00 / $3,438.61	Facility		$1,058.63	$2,400.00	$3,438.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,752.00 / $2,814.37	Professional		$1,752.00	$1,752.00	$2,814.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.51 / $2,021.51 / $2,470.67	Professional		$1,366.51	$2,021.51	$2,470.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,988.94 / $2,055.03 / $3,438.61	Professional		$1,988.94	$2,055.03	$3,438.61