Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.52 / $1,843.52 / $1,991.00	Facility		$1,843.52	$1,843.52	$1,991.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,843.52 / $1,991.00 / $3,687.03	Professional		$1,843.52	$1,991.00	$3,687.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,507.17 / $2,507.17 / $2,507.17	Professional		$2,507.17	$2,507.17	$2,507.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,210.68 / $4,210.68 / $4,210.68	Facility		$4,210.68	$4,210.68	$4,210.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,364.97	Professional		$2,456.42	$2,456.42	$3,364.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,225.02 / $23,010.90 / $23,010.90	Facility		$21,225.02	$23,010.90	$23,010.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,979.78 / $23,979.78 / $31,925.70	Professional		$23,979.78	$23,979.78	$31,925.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $2,954.15 / $4,210.68	Facility		$1,310.23	$2,954.15	$4,210.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.02 / $3,789.62 / $4,844.39	Professional		$1,325.02	$3,789.62	$4,844.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $3,013.69 / $4,210.68	Facility		$1,310.23	$3,013.69	$4,210.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,587.23	Professional		$2,456.42	$2,456.42	$3,587.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,691.28 / $2,501.96 / $3,079.28	Professional		$1,691.28	$2,501.96	$3,079.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,461.64 / $2,516.48 / $4,210.68	Professional		$2,461.64	$2,516.48	$4,210.68