Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,187.76	Facility		$1,995.26	$1,995.26	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,981.07	Professional		$1,995.26	$2,454.71	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $4,677.35 / $4,677.35	Facility		$79.43	$4,677.35	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,548.13	Professional		$2,570.40	$2,570.40	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $34,673.69 / $34,673.69	Professional		$30,902.95	$34,673.69	$34,673.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,981.07 / $7,244.36	Facility		$1,479.11	$3,981.07	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $5,495.41	Professional		$1,995.26	$2,691.53	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $6,309.57	Facility		$2,041.74	$3,715.35	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,548.13	Professional		$2,570.40	$2,570.40	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $5,248.07	Facility		$1,737.80	$3,388.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $3,467.37	Professional		$1,905.46	$2,818.38	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35