Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.50 / $1,678.50 / $1,812.77	Facility		$1,678.50	$1,678.50	$1,812.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.50 / $1,812.77 / $3,356.99	Professional		$1,678.50	$1,812.77	$3,356.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,282.75 / $2,282.75 / $2,282.75	Professional		$2,282.75	$2,282.75	$2,282.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,833.78 / $3,833.78 / $3,833.78	Facility		$3,833.78	$3,833.78	$3,833.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,141.52	Professional		$2,293.31	$2,293.31	$3,141.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,963.50 / $23,067.66 / $23,067.66	Facility		$18,963.50	$23,067.66	$23,067.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,310.48 / $23,310.48 / $29,065.58	Professional		$23,310.48	$23,310.48	$29,065.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,173.07 / $2,743.90 / $3,833.78	Facility		$1,173.07	$2,743.90	$3,833.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.31 / $3,450.40 / $4,629.51	Professional		$1,186.31	$3,450.40	$4,629.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,173.07 / $2,773.41 / $3,833.78	Facility		$1,173.07	$2,773.41	$3,833.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,235.77	Professional		$2,293.31	$2,293.31	$3,235.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,514.24 / $2,240.05 / $2,737.79	Professional		$1,514.24	$2,240.05	$2,737.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,203.96 / $2,225.15 / $3,833.78	Professional		$2,203.96	$2,225.15	$3,833.78