Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.48 / $1,788.48 / $1,931.56	Facility		$1,788.48	$1,788.48	$1,931.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,788.48 / $1,931.56 / $3,576.96	Professional		$1,788.48	$1,931.56	$3,576.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,432.33 / $2,432.33 / $2,432.33	Professional		$2,432.33	$2,432.33	$2,432.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,084.99 / $4,084.99 / $4,084.99	Facility		$4,084.99	$4,084.99	$4,084.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $1,666.39	Professional		$1,666.39	$1,666.39	$1,666.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,826.50 / $19,065.24 / $19,065.24	Facility		$6,826.50	$19,065.24	$19,065.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,393.65 / $20,393.65 / $30,341.85	Professional		$20,393.65	$20,393.65	$30,341.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $2,846.85 / $4,084.99	Facility		$1,176.59	$2,846.85	$4,084.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.86 / $3,676.49 / $4,084.99	Professional		$1,189.86	$3,676.49	$4,084.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $2,729.48 / $4,084.99	Facility		$1,176.59	$2,729.48	$4,084.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $3,297.64	Professional		$1,666.39	$1,666.39	$3,297.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.78 / $2,246.78 / $2,746.00	Professional		$1,518.78	$2,246.78	$2,746.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,207.84 / $2,210.58 / $4,084.99	Professional		$2,207.84	$2,210.58	$4,084.99