Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.50 / $1,508.50 / $1,629.18	Facility		$1,508.50	$1,508.50	$1,629.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.50 / $1,629.18 / $3,017.00	Professional		$1,508.50	$1,629.18	$3,017.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,051.56 / $2,051.56 / $2,051.56	Professional		$2,051.56	$2,051.56	$2,051.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,445.50 / $3,445.50 / $3,445.50	Facility		$3,445.50	$3,445.50	$3,445.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $2,217.07	Facility		$2,217.07	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $2,217.07	Professional		$1,618.46	$1,618.46	$2,217.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,757.86 / $16,018.84 / $16,018.84	Facility		$5,757.86	$16,018.84	$16,018.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,255.00 / $17,255.00 / $25,088.48	Professional		$17,255.00	$17,255.00	$25,088.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $986.09 / $2,401.19 / $3,445.50	Facility		$986.09	$2,401.19	$3,445.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $997.21 / $3,100.95 / $3,445.50	Professional		$997.21	$3,100.95	$3,445.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.09 / $2,302.19 / $3,445.50	Facility		$986.09	$2,302.19	$3,445.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $2,363.51	Professional		$1,618.46	$1,618.46	$2,363.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,176.86 / $2,036.58 / $2,353.73	Facility		$1,176.86	$2,036.58	$2,353.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.86 / $1,882.99 / $2,302.19	Professional		$1,272.86	$1,882.99	$2,302.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,838.86 / $1,852.65 / $3,445.50	Professional		$1,838.86	$1,852.65	$3,445.50