Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.38 / $1,973.38 / $2,131.25	Facility		$1,973.38	$1,973.38	$2,131.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,973.38 / $2,131.25 / $3,946.76	Professional		$1,973.38	$2,131.25	$3,946.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,380.48 / $3,380.48 / $3,380.48	Professional		$3,380.48	$3,380.48	$3,380.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,145.07 / $2,683.80 / $2,683.80	Professional		$2,145.07	$2,683.80	$2,683.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,507.31 / $4,507.31 / $4,507.31	Facility		$4,507.31	$4,507.31	$4,507.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,502.67	Professional		$1,826.95	$1,826.95	$2,502.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,532.20 / $20,912.72 / $20,912.72	Facility		$7,532.20	$20,912.72	$20,912.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,572.40 / $22,572.40 / $32,819.33	Professional		$22,572.40	$22,572.40	$32,819.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,289.96 / $3,141.16 / $4,507.31	Facility		$1,289.96	$3,141.16	$4,507.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.52 / $4,056.58 / $4,507.31	Professional		$1,304.52	$4,056.58	$4,507.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.96 / $3,011.66 / $4,507.31	Facility		$1,289.96	$3,011.66	$4,507.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,667.97	Professional		$1,826.95	$1,826.95	$2,667.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,665.11 / $2,463.26 / $3,063.80	Professional		$1,665.11	$2,463.26	$3,063.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,423.56 / $2,693.73 / $4,507.31	Professional		$2,423.56	$2,693.73	$4,507.31