Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.13 / $2,001.13 / $2,161.21	Facility		$2,001.13	$2,001.13	$2,161.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.13 / $2,161.21 / $4,002.26	Professional		$2,001.13	$2,161.21	$4,002.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,721.54 / $2,721.54 / $2,721.54	Professional		$2,721.54	$2,721.54	$2,721.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,570.70 / $4,570.70 / $4,570.70	Facility		$4,570.70	$4,570.70	$4,570.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $2,941.06	Facility		$2,941.06	$2,941.06	$2,941.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $2,146.96	Professional		$2,146.96	$2,146.96	$2,146.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,638.05 / $21,171.57 / $21,171.57	Facility		$7,638.05	$21,171.57	$21,171.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,889.87 / $22,889.87 / $33,281.40	Professional		$22,889.87	$22,889.87	$33,281.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $3,434.89 / $4,570.70	Facility		$1,308.09	$3,434.89	$4,570.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.87 / $4,205.04 / $4,570.70	Professional		$1,322.87	$4,205.04	$4,570.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $3,057.37 / $4,570.70	Facility		$1,308.09	$3,057.37	$4,570.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $3,885.65	Professional		$2,146.96	$2,146.96	$3,885.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,688.53 / $2,497.90 / $3,093.39	Professional		$1,688.53	$2,497.90	$3,093.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,457.65 / $2,731.58 / $4,570.70	Professional		$2,457.65	$2,731.58	$4,570.70