Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.88 / $1,675.88 / $1,809.95	Facility		$1,675.88	$1,675.88	$1,809.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.88 / $1,809.95 / $3,351.75	Professional		$1,675.88	$1,809.95	$3,351.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,279.19 / $2,279.19 / $2,279.19	Professional		$2,279.19	$2,279.19	$2,279.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,827.79 / $3,827.79 / $3,827.79	Facility		$3,827.79	$3,827.79	$3,827.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,463.07	Professional		$1,798.04	$1,798.04	$2,463.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,396.68 / $17,730.55 / $17,730.55	Facility		$6,396.68	$17,730.55	$17,730.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,169.56 / $19,169.56 / $27,872.10	Professional		$19,169.56	$19,169.56	$27,872.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $2,667.60 / $3,827.79	Facility		$1,095.49	$2,667.60	$3,827.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.85 / $3,445.01 / $3,827.79	Professional		$1,107.85	$3,445.01	$3,827.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $2,557.62 / $3,827.79	Facility		$1,095.49	$2,557.62	$3,827.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,625.75	Professional		$1,798.04	$1,798.04	$2,625.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,414.09 / $2,091.91 / $2,596.73	Professional		$1,414.09	$2,091.91	$2,596.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,058.28 / $2,068.50 / $3,827.79	Professional		$2,058.28	$2,068.50	$3,827.79