Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.22 / $1,209.22 / $1,305.96	Facility		$1,209.22	$1,209.22	$1,305.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.48 / $1,305.96 / $2,418.44	Professional		$1,112.48	$1,305.96	$2,418.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,644.54 / $1,644.54 / $1,644.54	Professional		$1,644.54	$1,644.54	$1,644.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,761.92 / $2,761.92 / $2,761.92	Facility		$2,761.92	$2,761.92	$2,761.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,040.02	Professional		$1,040.02	$1,040.02	$1,040.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,107.67 / $14,394.16 / $14,394.16	Facility		$12,107.67	$14,394.16	$14,394.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,545.68 / $14,545.68 / $19,949.63	Professional		$14,545.68	$14,545.68	$19,949.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $734.33 / $1,924.80 / $2,761.92	Facility		$734.33	$1,924.80	$2,761.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.62 / $2,485.73 / $2,761.92	Professional		$742.62	$2,485.73	$2,761.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.33 / $1,845.45 / $2,761.92	Facility		$734.33	$1,845.45	$2,761.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $2,166.69	Professional		$1,040.02	$1,040.02	$2,166.69
United Facility/Professional Professional Modifier Low / Median / High Price $947.89 / $1,427.59 / $1,740.63	Professional		$947.89	$1,427.59	$1,740.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,379.65 / $2,761.92	Professional		$1,369.38	$1,379.65	$2,761.92