Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.04 / $1,199.04 / $1,294.96	Facility		$1,199.04	$1,199.04	$1,294.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.04 / $1,294.96 / $2,398.07	Professional		$1,199.04	$1,294.96	$2,398.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.34 / $1,630.69 / $1,630.69	Professional		$1,303.34	$1,630.69	$1,630.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,738.66 / $2,738.66 / $2,738.66	Facility		$2,738.66	$2,738.66	$2,738.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $1,711.28	Facility		$1,711.28	$1,711.28	$1,711.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,711.28	Professional		$1,249.23	$1,249.23	$1,711.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,301.99 / $17,184.68 / $17,184.68	Facility		$14,301.99	$17,184.68	$17,184.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,908.25 / $17,908.25 / $20,539.95	Professional		$17,908.25	$17,908.25	$20,539.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $882.05 / $1,921.40 / $2,738.66	Facility		$882.05	$1,921.40	$2,738.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $892.01 / $2,496.75 / $3,617.83	Professional		$892.01	$2,496.75	$3,617.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.05 / $1,829.90 / $2,738.66	Facility		$882.05	$1,829.90	$2,738.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,824.31	Professional		$1,249.23	$1,249.23	$1,824.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.58 / $1,684.33 / $2,105.41	Professional		$1,138.58	$1,684.33	$2,105.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,657.18 / $1,660.84 / $2,738.66	Professional		$1,657.18	$1,660.84	$2,738.66