Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.50 / $2,090.50 / $2,257.73	Facility		$2,090.50	$2,090.50	$2,257.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.50 / $2,257.73 / $4,180.99	Professional		$2,090.50	$2,257.73	$4,180.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,843.07 / $2,843.07 / $2,843.07	Professional		$2,843.07	$2,843.07	$2,843.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,774.81 / $4,774.81 / $4,774.81	Facility		$4,774.81	$4,774.81	$4,774.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $3,813.78	Professional		$2,784.06	$2,784.06	$3,813.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,822.60 / $28,320.45 / $28,320.45	Facility		$23,822.60	$28,320.45	$28,320.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,618.56 / $28,618.56 / $40,706.10	Professional		$28,618.56	$28,618.56	$40,706.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.20 / $3,402.72 / $4,774.81	Facility		$1,440.20	$3,402.72	$4,774.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.46 / $4,297.33 / $5,577.16	Professional		$1,456.46	$4,297.33	$5,577.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,440.20 / $3,417.43 / $4,774.81	Facility		$1,440.20	$3,417.43	$4,774.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $3,928.19	Professional		$2,784.06	$2,784.06	$3,928.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,859.05 / $2,750.15 / $3,384.76	Professional		$1,859.05	$2,750.15	$3,384.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,705.83 / $2,731.85 / $4,774.81	Professional		$2,705.83	$2,731.85	$4,774.81