Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.36 / $1,659.36 / $1,792.11	Facility		$1,659.36	$1,659.36	$1,792.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.36 / $1,792.11 / $3,318.72	Professional		$1,659.36	$1,792.11	$3,318.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,803.73 / $1,803.73 / $2,256.73	Professional		$1,803.73	$1,803.73	$2,256.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,790.07 / $3,790.07 / $3,790.07	Facility		$3,790.07	$3,790.07	$3,790.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $2,677.88	Professional		$1,954.85	$1,954.85	$2,677.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,333.63 / $17,719.04 / $17,719.04	Facility		$6,333.63	$17,719.04	$17,719.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,980.66 / $18,980.66 / $28,066.73	Professional		$18,980.66	$18,980.66	$28,066.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.50 / $2,641.31 / $3,790.07	Facility		$1,091.50	$2,641.31	$3,790.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.82 / $3,411.06 / $3,822.42	Professional		$1,103.82	$3,411.06	$3,822.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.50 / $2,659.04 / $3,790.07	Facility		$1,091.50	$2,659.04	$3,790.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $2,854.76	Professional		$1,954.85	$1,954.85	$2,854.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.94 / $2,121.96 / $2,605.35	Professional		$1,408.94	$2,121.96	$2,605.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,050.69 / $2,060.88 / $3,790.07	Professional		$2,050.69	$2,060.88	$3,790.07