Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.63 / $1,240.63 / $1,339.88	Facility		$1,240.63	$1,240.63	$1,339.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.38 / $1,339.88 / $2,481.26	Professional		$1,141.38	$1,339.88	$2,481.26
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 $1,687.26 / $1,687.26 / $1,687.26	Professional		$1,687.26	$1,687.26	$1,687.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,833.67 / $2,833.67 / $2,833.67	Facility		$2,833.67	$2,833.67	$2,833.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $1,964.43	Professional		$1,434.03	$1,434.03	$1,964.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,101.71 / $12,160.93 / $12,160.93	Facility		$5,101.71	$12,160.93	$12,160.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,783.95 / $14,783.95 / $23,099.93	Professional		$14,783.95	$14,783.95	$23,099.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $1,974.78 / $2,833.67	Facility		$743.99	$1,974.78	$2,833.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $752.39 / $2,550.30 / $2,833.67	Professional		$752.39	$2,550.30	$2,833.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $1,964.43 / $2,833.67	Facility		$743.99	$1,964.43	$2,833.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $2,094.17	Professional		$1,434.03	$1,434.03	$2,094.17
United Facility/Professional Professional Modifier Low / Median / High Price $960.36 / $1,420.69 / $1,767.06	Professional		$960.36	$1,420.69	$1,767.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,396.06 / $1,397.80 / $2,833.67	Professional		$1,396.06	$1,397.80	$2,833.67