Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.90 / $1,375.90 / $1,485.97	Facility		$1,375.90	$1,375.90	$1,485.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.90 / $1,485.97 / $2,751.80	Professional		$1,375.90	$1,485.97	$2,751.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,871.22 / $1,871.22 / $1,871.22	Professional		$1,871.22	$1,871.22	$1,871.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,142.64 / $3,142.64 / $3,142.64	Facility		$3,142.64	$3,142.64	$3,142.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,479.82	Professional		$1,810.27	$1,810.27	$2,479.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,781.90 / $16,444.91 / $19,678.21	Facility		$7,781.90	$16,444.91	$19,678.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,490.28 / $23,030.06 / $28,806.08	Professional		$22,490.28	$23,030.06	$28,806.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $2,249.26 / $3,142.64	Facility		$1,000.71	$2,249.26	$3,142.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.01 / $2,832.68 / $4,142.78	Professional		$1,012.01	$2,832.68	$4,142.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $2,306.46 / $3,142.64	Facility		$1,000.71	$2,306.46	$3,142.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,554.21	Professional		$1,810.27	$1,810.27	$2,554.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.74 / $1,910.92 / $2,388.64	Professional		$1,291.74	$1,910.92	$2,388.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,880.12 / $1,898.20 / $3,142.64	Professional		$1,880.12	$1,898.20	$3,142.64