Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $1,736.00 / $1,874.88	Facility		$1,736.00	$1,736.00	$1,874.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.28 / $1,874.88 / $3,472.00	Professional		$1,629.28	$1,874.88	$3,472.00
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 $1,887.03 / $1,887.03 / $2,360.96	Professional		$1,887.03	$1,887.03	$2,360.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,965.12 / $3,965.12 / $3,965.12	Facility		$3,965.12	$3,965.12	$3,965.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,561.34	Professional		$1,869.78	$1,869.78	$2,561.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,886.61 / $16,910.75 / $20,412.75	Facility		$7,886.61	$16,910.75	$20,412.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,294.00 / $21,805.07 / $25,474.80	Professional		$21,294.00	$21,805.07	$25,474.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $2,763.31 / $3,965.12	Facility		$1,038.06	$2,763.31	$3,965.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.78 / $3,568.61 / $3,965.12	Professional		$1,049.78	$3,568.61	$3,965.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $2,649.39 / $3,965.12	Facility		$1,038.06	$2,649.39	$3,965.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,730.51	Professional		$1,869.78	$1,869.78	$2,730.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.96 / $1,982.24 / $2,460.60	Professional		$1,339.96	$1,982.24	$2,460.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,947.88 / $1,950.30 / $3,965.12	Professional		$1,947.88	$1,950.30	$3,965.12