Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,241.32 / $2,241.32 / $2,420.62	Facility		$2,241.32	$2,241.32	$2,420.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,241.32 / $2,420.62 / $4,482.63	Professional		$2,241.32	$2,420.62	$4,482.63
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 $2,436.31 / $2,436.31 / $3,048.19	Professional		$2,436.31	$2,436.31	$3,048.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,119.29 / $5,119.29 / $5,119.29	Facility		$5,119.29	$5,119.29	$5,119.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,294.10	Facility		$3,294.10	$3,294.10	$3,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $3,294.10	Professional		$2,404.69	$2,404.69	$3,294.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,554.93 / $23,712.81 / $23,712.81	Facility		$8,554.93	$23,712.81	$23,712.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,637.24 / $25,637.24 / $37,275.90	Professional		$25,637.24	$25,637.24	$37,275.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.11 / $3,567.66 / $5,119.29	Facility		$1,465.11	$3,567.66	$5,119.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,481.65 / $4,607.35 / $5,119.29	Professional		$1,481.65	$4,607.35	$5,119.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,465.11 / $3,420.58 / $5,119.29	Facility		$1,465.11	$3,420.58	$5,119.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $3,511.67	Professional		$2,404.69	$2,404.69	$3,511.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,891.21 / $2,797.72 / $3,420.58	Professional		$1,891.21	$2,797.72	$3,420.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,752.64 / $2,779.11 / $5,119.29	Professional		$2,752.64	$2,779.11	$5,119.29