Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.86 / $1,484.86 / $1,603.65	Facility		$1,484.86	$1,484.86	$1,603.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.07 / $1,603.65 / $2,969.72	Professional		$1,366.07	$1,603.65	$2,969.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,019.41 / $2,019.41 / $2,019.41	Professional		$2,019.41	$2,019.41	$2,019.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,391.51 / $3,391.51 / $3,391.51	Facility		$3,391.51	$3,391.51	$3,391.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,784.15	Professional		$1,302.43	$1,302.43	$1,784.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,230.69 / $17,614.71 / $17,614.71	Facility		$15,230.69	$17,614.71	$17,614.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,819.31 / $17,819.31 / $26,617.20	Professional		$17,819.31	$17,819.31	$26,617.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $2,363.55 / $3,391.51	Facility		$919.62	$2,363.55	$3,391.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $929.99 / $3,120.19 / $3,599.86	Professional		$929.99	$3,120.19	$3,599.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $2,266.11 / $3,391.51	Facility		$919.62	$2,266.11	$3,391.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,837.67	Professional		$1,302.43	$1,302.43	$1,837.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.06 / $1,756.06 / $2,195.07	Professional		$1,187.06	$1,756.06	$2,195.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,727.76 / $1,744.37 / $3,391.51	Professional		$1,727.76	$1,744.37	$3,391.51