Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,238.72	Facility		$2,041.74	$2,041.74	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $4,073.80	Professional		$1,905.46	$2,290.87	$4,073.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,818.38	Professional		$2,238.72	$2,238.72	$2,818.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $4,786.30 / $4,786.30	Facility		$79.43	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,754.23	Professional		$2,041.74	$2,041.74	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $43,651.58 / $43,651.58	Professional		$29,512.09	$43,651.58	$43,651.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $6,025.60	Facility		$2,041.74	$3,801.89	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $4,786.30	Professional		$2,041.74	$2,570.40	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Professional		$2,511.89	$2,511.89	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $6,309.57	Facility		$2,041.74	$3,630.78	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,754.23	Professional		$2,041.74	$2,041.74	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $5,128.61	Facility		$1,659.59	$3,090.30	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $3,388.44	Professional		$1,862.09	$2,754.23	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30