Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.54 / $1,400.54 / $1,512.58	Facility		$1,400.54	$1,400.54	$1,512.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.49 / $1,507.96 / $2,801.07	Professional		$1,288.49	$1,507.96	$2,801.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,904.73 / $1,904.73 / $1,904.73	Professional		$1,904.73	$1,904.73	$1,904.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,198.89 / $3,198.89 / $3,198.89	Facility		$3,198.89	$3,198.89	$3,198.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,119.51	Professional		$1,547.24	$1,547.24	$2,119.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,256.99 / $13,256.99 / $13,723.75	Facility		$13,256.99	$13,256.99	$13,723.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,834.51 / $15,834.51 / $20,938.88	Professional		$15,834.51	$15,834.51	$20,938.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.65 / $2,401.58 / $3,198.89	Facility		$808.65	$2,401.58	$3,198.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $817.77 / $2,879.00 / $3,198.89	Professional		$817.77	$2,879.00	$3,198.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.65 / $2,119.51 / $3,198.89	Facility		$808.65	$2,119.51	$3,198.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,183.10	Professional		$1,547.24	$1,547.24	$2,183.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.82 / $1,544.15 / $1,887.26	Professional		$1,043.82	$1,544.15	$1,887.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,519.27 / $1,526.81 / $3,198.89	Professional		$1,519.27	$1,526.81	$3,198.89