Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.89 / $1,169.89 / $1,263.48	Facility		$1,169.89	$1,169.89	$1,263.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.89 / $1,263.48 / $2,339.78	Professional		$1,169.89	$1,263.48	$2,339.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,591.05 / $1,591.05 / $1,591.05	Professional		$1,591.05	$1,591.05	$1,591.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,672.10 / $2,672.10 / $2,672.10	Facility		$2,672.10	$2,672.10	$2,672.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $1,960.76	Facility		$1,960.76	$1,960.76	$1,960.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $1,960.76	Professional		$1,431.35	$1,431.35	$1,960.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,092.16 / $12,853.25 / $12,853.25	Facility		$5,092.16	$12,853.25	$12,853.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,449.94 / $14,449.94 / $18,917.18	Professional		$14,449.94	$14,449.94	$18,917.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.23 / $1,862.19 / $2,672.10	Facility		$791.23	$1,862.19	$2,672.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $800.16 / $2,404.89 / $2,919.18	Professional		$800.16	$2,404.89	$2,919.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.23 / $1,912.47 / $2,672.10	Facility		$791.23	$1,912.47	$2,672.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $2,090.26	Professional		$1,431.35	$1,431.35	$2,090.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.34 / $1,510.89 / $1,846.61	Professional		$1,021.34	$1,510.89	$1,846.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,486.55 / $1,500.84 / $2,672.10	Professional		$1,486.55	$1,500.84	$2,672.10