Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.60 / $1,913.60 / $2,066.67	Facility		$1,913.60	$1,913.60	$2,066.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,913.60 / $2,080.08 / $3,827.19	Professional		$1,913.60	$2,080.08	$3,827.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,602.48 / $2,602.48 / $2,602.48	Professional		$2,602.48	$2,602.48	$2,602.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,370.76 / $4,370.76 / $4,370.76	Facility		$4,370.76	$4,370.76	$4,370.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $3,523.90	Professional		$2,572.44	$2,572.44	$3,523.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,227.17 / $25,314.56 / $25,314.56	Facility		$23,227.17	$25,314.56	$25,314.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,366.97 / $26,366.97 / $36,855.00	Professional		$26,366.97	$26,366.97	$36,855.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.71 / $3,066.44 / $4,370.76	Facility		$1,407.71	$3,066.44	$4,370.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,423.59 / $3,984.47 / $5,326.66	Professional		$1,423.59	$3,984.47	$5,326.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,407.71 / $3,110.97 / $4,370.76	Facility		$1,407.71	$3,110.97	$4,370.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $3,629.62	Professional		$2,572.44	$2,572.44	$3,629.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,817.10 / $2,688.10 / $3,285.38	Professional		$1,817.10	$2,688.10	$3,285.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,644.78 / $2,670.21 / $4,370.76	Professional		$2,644.78	$2,670.21	$4,370.76