Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.36 / $1,215.36 / $1,312.59	Facility		$1,215.36	$1,215.36	$1,312.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.36 / $1,312.59 / $2,430.73	Professional		$1,215.36	$1,312.59	$2,430.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.90 / $1,652.90 / $1,652.90	Professional		$1,652.90	$1,652.90	$1,652.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,775.96 / $2,775.96 / $2,775.96	Facility		$2,775.96	$2,775.96	$2,775.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,786.24	Professional		$1,303.96	$1,303.96	$1,786.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,638.93 / $12,858.35 / $12,858.35	Facility		$4,638.93	$12,858.35	$12,858.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,901.92 / $13,901.92 / $20,213.09	Professional		$13,901.92	$13,901.92	$20,213.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.47 / $2,084.06 / $2,775.96	Facility		$794.47	$2,084.06	$2,775.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.43 / $2,498.36 / $2,775.96	Professional		$803.43	$2,498.36	$2,775.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.47 / $1,854.82 / $2,775.96	Facility		$794.47	$1,854.82	$2,775.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,839.83	Professional		$1,303.96	$1,303.96	$1,839.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.52 / $1,517.08 / $1,854.16	Professional		$1,025.52	$1,517.08	$1,854.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,487.71 / $1,492.65 / $2,775.96	Professional		$1,487.71	$1,492.65	$2,775.96