Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.04 / $1,318.04 / $1,423.48	Facility		$1,318.04	$1,318.04	$1,423.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.04 / $1,423.48 / $2,636.07	Professional		$1,318.04	$1,423.48	$2,636.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,792.53 / $1,792.53 / $1,792.53	Professional		$1,792.53	$1,792.53	$1,792.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,010.47 / $3,010.47 / $3,010.47	Facility		$3,010.47	$3,010.47	$3,010.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,125.02	Facility		$2,125.02	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,125.02	Professional		$1,551.26	$1,551.26	$2,125.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,520.96 / $17,638.56 / $17,638.56	Facility		$14,520.96	$17,638.56	$17,638.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,492.63 / $18,492.63 / $24,311.25	Professional		$18,492.63	$18,492.63	$24,311.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.99 / $2,098.00 / $3,010.47	Facility		$896.99	$2,098.00	$3,010.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.11 / $2,709.42 / $3,107.39	Professional		$907.11	$2,709.42	$3,107.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.99 / $2,112.09 / $3,010.47	Facility		$896.99	$2,112.09	$3,010.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,188.77	Professional		$1,551.26	$1,551.26	$2,188.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.85 / $1,712.85 / $2,093.44	Professional		$1,157.85	$1,712.85	$2,093.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,685.25 / $1,693.61 / $3,010.47	Professional		$1,685.25	$1,693.61	$3,010.47