Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.38 / $1,094.38 / $1,181.93	Facility		$1,094.38	$1,094.38	$1,181.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.38 / $1,181.93 / $2,188.76	Professional		$1,094.38	$1,181.93	$2,188.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,488.36 / $1,488.36 / $1,488.36	Professional		$1,488.36	$1,488.36	$1,488.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,499.62 / $2,499.62 / $2,499.62	Facility		$2,499.62	$2,499.62	$2,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $1,654.54	Facility		$1,654.54	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $1,654.54	Professional		$1,207.81	$1,207.81	$1,654.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,359.97 / $12,123.54 / $14,424.18	Facility		$5,359.97	$12,123.54	$14,424.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,944.43 / $17,351.09 / $18,330.68	Professional		$16,944.43	$17,351.09	$18,330.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $1,742.00 / $2,499.62	Facility		$733.52	$1,742.00	$2,499.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.80 / $2,249.66 / $2,955.30	Professional		$741.80	$2,249.66	$2,955.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $1,670.18 / $2,499.62	Facility		$733.52	$1,670.18	$2,499.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $1,763.81	Professional		$1,207.81	$1,207.81	$1,763.81
United Facility/Professional Professional Modifier Low / Median / High Price $946.85 / $1,400.71 / $1,750.88	Professional		$946.85	$1,400.71	$1,750.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,376.42 / $1,378.13 / $2,499.62	Professional		$1,376.42	$1,378.13	$2,499.62