Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,634.73 / $1,634.73 / $1,765.51	Facility		$1,634.73	$1,634.73	$1,765.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.73 / $1,765.51 / $3,269.46	Professional		$1,634.73	$1,765.51	$3,269.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.95 / $2,223.23 / $2,223.23	Professional		$1,776.95	$2,223.23	$2,223.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,733.81 / $3,733.81 / $3,733.81	Facility		$3,733.81	$3,733.81	$3,733.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $2,970.85	Professional		$2,168.71	$2,168.71	$2,970.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,143.40 / $19,545.97 / $19,545.97	Facility		$19,143.40	$19,545.97	$19,545.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,162.56 / $24,162.56 / $28,780.73	Professional		$24,162.56	$24,162.56	$28,780.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,192.80 / $2,672.36 / $3,733.81	Facility		$1,192.80	$2,672.36	$3,733.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.26 / $3,376.17 / $4,266.43	Professional		$1,206.26	$3,376.17	$4,266.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,192.80 / $2,672.36 / $3,733.81	Facility		$1,192.80	$2,672.36	$3,733.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $3,167.07	Professional		$2,168.71	$2,168.71	$3,167.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.69 / $2,277.71 / $2,783.19	Professional		$1,539.69	$2,277.71	$2,783.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,241.00 / $2,262.55 / $3,733.81	Professional		$2,241.00	$2,262.55	$3,733.81