Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Facility		$1,174.90	$1,174.90	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,344.23	Professional		$1,174.90	$1,348.96	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,754.23 / $2,754.23	Facility		$79.43	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Professional		$1,445.44	$1,445.44	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $19,054.61 / $19,054.61	Professional		$14,454.40	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $3,630.78	Facility		$1,202.26	$2,238.72	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,951.21	Professional		$1,174.90	$1,479.11	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,630.78	Facility		$1,202.26	$2,137.96	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Professional		$1,445.44	$1,445.44	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $2,818.38	Facility		$933.25	$1,698.24	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,862.09	Professional		$1,023.29	$1,513.56	$1,862.09
Wellpoint 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