Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.67 / $1,491.67 / $1,611.00	Facility		$1,491.67	$1,491.67	$1,611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,491.67 / $1,611.00 / $2,983.34	Professional		$1,491.67	$1,611.00	$2,983.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,028.67 / $2,028.67 / $2,028.67	Professional		$2,028.67	$2,028.67	$2,028.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,407.06 / $3,407.06 / $3,407.06	Facility		$3,407.06	$3,407.06	$3,407.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $2,476.09	Facility		$2,476.09	$2,476.09	$2,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $2,476.09	Professional		$1,807.55	$1,807.55	$2,476.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,803.40 / $18,460.07 / $18,460.07	Facility		$16,803.40	$18,460.07	$18,460.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,260.05 / $19,260.05 / $25,997.63	Professional		$19,260.05	$19,260.05	$25,997.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.47 / $2,374.39 / $3,407.06	Facility		$1,023.47	$2,374.39	$3,407.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.02 / $3,066.35 / $3,890.92	Professional		$1,035.02	$3,066.35	$3,890.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.47 / $2,438.50 / $3,407.06	Facility		$1,023.47	$2,438.50	$3,407.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $2,550.37	Professional		$1,807.55	$1,807.55	$2,550.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.12 / $1,954.37 / $2,388.62	Professional		$1,321.12	$1,954.37	$2,388.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,922.87 / $1,932.42 / $3,407.06	Professional		$1,922.87	$1,932.42	$3,407.06