Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,691.53	Facility		$2,511.89	$2,511.89	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,786.30	Professional		$2,344.23	$2,884.03	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $5,888.44 / $5,888.44	Facility		$79.43	$5,888.44	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility		$29,512.09	$29,512.09	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $38,904.51 / $38,904.51	Professional		$30,902.95	$38,904.51	$38,904.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $8,317.64	Facility		$2,691.53	$5,495.41	$8,317.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $5,888.44	Professional		$2,454.71	$3,090.30	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,466.84	Professional		$4,365.16	$4,365.16	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $9,120.11	Facility		$2,884.03	$5,128.61	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $5,888.44	Facility		$1,949.84	$3,890.45	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $3,981.07	Professional		$2,137.96	$3,235.94	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44