Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Facility		$1,659.59	$1,659.59	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,235.94	Professional		$1,621.81	$1,862.09	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,890.45 / $3,890.45	Facility		$79.43	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,454.71	Professional		$1,778.28	$1,778.28	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $28,183.83 / $28,183.83	Professional		$19,054.61	$28,183.83	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $4,897.79	Facility		$1,659.59	$3,162.28	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,715.35	Professional		$1,659.59	$2,041.74	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Professional		$2,570.40	$2,570.40	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $4,897.79	Facility		$1,659.59	$2,951.21	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,454.71	Professional		$1,778.28	$1,778.28	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $3,890.45	Facility		$1,288.25	$2,570.40	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,570.40	Professional		$1,412.54	$2,089.30	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45