Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,822.43 / $3,822.43 / $4,128.22	Facility		$3,822.43	$3,822.43	$4,128.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,819.14 / $4,128.22 / $7,644.86	Professional		$3,819.14	$4,128.22	$7,644.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,854.83 / $4,854.83 / $4,854.83	Professional		$4,854.83	$4,854.83	$4,854.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,154.97 / $5,198.50 / $5,198.50	Professional		$4,154.97	$5,198.50	$5,198.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $8,730.64 / $8,730.64 / $8,730.64	Facility		$8,730.64	$8,730.64	$8,730.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $6,042.00	Professional		$4,410.66	$4,410.66	$6,042.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,589.81 / $40,507.83 / $40,507.83	Facility		$14,589.81	$40,507.83	$40,507.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $43,722.41 / $43,722.41 / $63,571.35	Professional		$43,722.41	$43,722.41	$63,571.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,498.65 / $6,084.41 / $8,730.64	Facility		$2,498.65	$6,084.41	$8,730.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,526.85 / $7,857.58 / $8,730.64	Professional		$2,526.85	$7,857.58	$8,730.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,498.65 / $6,042.00 / $8,730.64	Facility		$2,498.65	$6,042.00	$8,730.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $6,918.96	Professional		$4,410.66	$4,410.66	$6,918.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,225.32 / $4,771.31 / $5,833.57	Professional		$3,225.32	$4,771.31	$5,833.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,694.43 / $5,217.74 / $8,730.64	Professional		$4,694.43	$5,217.74	$8,730.64