Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.12 / $1,620.12 / $1,749.73	Facility		$1,620.12	$1,620.12	$1,749.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.12 / $1,749.73 / $3,240.24	Professional		$1,620.12	$1,749.73	$3,240.24
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,700.45 / $3,700.45 / $3,700.45	Facility		$3,700.45	$3,700.45	$3,700.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $2,717.61	Professional		$1,983.86	$1,983.86	$2,717.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,464.45 / $21,500.64 / $21,500.64	Facility		$19,464.45	$21,500.64	$21,500.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,570.97 / $24,570.97 / $27,929.93	Professional		$24,570.97	$24,570.97	$27,929.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.82 / $2,648.48 / $3,700.45	Facility		$1,191.82	$2,648.48	$3,700.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.27 / $3,373.42 / $4,218.21	Professional		$1,205.27	$3,373.42	$4,218.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.82 / $2,717.61 / $3,700.45	Facility		$1,191.82	$2,717.61	$3,700.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $2,799.14	Professional		$1,983.86	$1,983.86	$2,799.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.43 / $2,275.84 / $2,781.52	Professional		$1,538.43	$2,275.84	$2,781.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,239.17 / $2,260.71 / $3,700.45	Professional		$2,239.17	$2,260.71	$3,700.45