Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.44 / $1,728.44 / $1,866.72	Facility		$1,728.44	$1,728.44	$1,866.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.44 / $1,866.72 / $3,456.88	Professional		$1,728.44	$1,866.72	$3,456.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,350.67 / $2,350.67 / $2,350.67	Professional		$2,350.67	$2,350.67	$2,350.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,947.86 / $3,947.86 / $3,947.86	Facility		$3,947.86	$3,947.86	$3,947.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,540.30	Professional		$1,854.42	$1,854.42	$2,540.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,597.28 / $18,286.54 / $18,286.54	Facility		$6,597.28	$18,286.54	$18,286.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,770.65 / $19,770.65 / $28,746.00	Professional		$19,770.65	$19,770.65	$28,746.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.84 / $2,751.27 / $3,947.86	Facility		$1,129.84	$2,751.27	$3,947.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.59 / $3,632.03 / $3,947.86	Professional		$1,142.59	$3,632.03	$3,947.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.84 / $2,637.84 / $3,947.86	Facility		$1,129.84	$2,637.84	$3,947.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,616.51	Professional		$1,854.42	$1,854.42	$2,616.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.44 / $2,157.51 / $2,637.84	Professional		$1,458.44	$2,157.51	$2,637.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,122.75 / $2,143.16 / $3,947.86	Professional		$2,122.75	$2,143.16	$3,947.86