Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.03 / $1,151.03 / $1,243.10	Facility		$1,151.03	$1,151.03	$1,243.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.03 / $1,243.10 / $2,302.06	Professional		$1,151.03	$1,243.10	$2,302.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,565.40 / $1,565.40 / $1,565.40	Professional		$1,565.40	$1,565.40	$1,565.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,629.02 / $2,629.02 / $2,629.02	Facility		$2,629.02	$2,629.02	$2,629.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $1,747.16	Facility		$1,747.16	$1,747.16	$1,747.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $1,747.16	Professional		$1,275.43	$1,275.43	$1,747.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,537.43 / $11,750.92 / $11,750.92	Facility		$4,537.43	$11,750.92	$11,750.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,013.65 / $13,013.65 / $16,954.28	Professional		$13,013.65	$13,013.65	$16,954.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.07 / $1,832.18 / $2,629.02	Facility		$728.07	$1,832.18	$2,629.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $736.29 / $2,366.12 / $2,629.02	Professional		$736.29	$2,366.12	$2,629.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.07 / $1,756.64 / $2,629.02	Facility		$728.07	$1,756.64	$2,629.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $1,799.57	Professional		$1,275.43	$1,275.43	$1,799.57
United Facility/Professional Professional Modifier Low / Median / High Price $939.81 / $1,390.29 / $1,725.79	Professional		$939.81	$1,390.29	$1,725.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,367.89 / $1,381.04 / $2,629.02	Professional		$1,367.89	$1,381.04	$2,629.02