Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,454.71	Facility		$2,290.87	$2,290.87	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,570.88	Professional		$2,238.72	$2,754.23	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $5,370.32 / $5,370.32	Facility		$79.43	$5,370.32	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,715.35	Professional		$2,754.23	$2,754.23	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $33,113.11 / $33,113.11	Facility		$33,113.11	$33,113.11	$33,113.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35,481.34 / $38,904.51 / $38,904.51	Professional		$35,481.34	$38,904.51	$38,904.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $7,079.46	Facility		$2,290.87	$4,570.88	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $6,165.95	Professional		$2,238.72	$3,019.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Professional		$3,019.95	$3,019.95	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,168.69 / $7,413.10	Facility		$2,290.87	$4,168.69	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,715.35	Professional		$2,754.23	$2,754.23	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $6,025.60	Facility		$1,949.84	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $3,981.07	Professional		$2,187.76	$3,235.94	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32