Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.53 / $2,505.53 / $2,705.97	Facility		$2,505.53	$2,505.53	$2,705.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,505.53 / $2,705.97 / $5,011.05	Professional		$2,505.53	$2,705.97	$5,011.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,407.51 / $3,407.51 / $3,407.51	Professional		$3,407.51	$3,407.51	$3,407.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,722.76 / $5,722.76 / $5,722.76	Facility		$5,722.76	$5,722.76	$5,722.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $3,728.42	Professional		$2,721.75	$2,721.75	$3,728.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,697.59 / $26,807.65 / $29,247.41	Facility		$11,697.59	$26,807.65	$29,247.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,647.77 / $30,647.77 / $38,967.68	Professional		$30,647.77	$30,647.77	$38,967.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,894.68 / $4,864.35 / $5,822.92	Facility		$2,894.68	$4,864.35	$5,822.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,762.02 / $5,264.94 / $5,822.92	Professional		$3,762.02	$5,264.94	$5,822.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,869.54 / $5,722.76	Facility		$3,249.00	$3,869.54	$5,722.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $4,841.66	Professional		$2,721.75	$2,721.75	$4,841.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,135.42 / $3,158.99 / $3,887.93	Professional		$2,135.42	$3,158.99	$3,887.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,053.28 / $3,569.66 / $5,722.76	Professional		$3,053.28	$3,569.66	$5,722.76