Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.73 / $1,249.73 / $1,349.71	Facility		$1,249.73	$1,249.73	$1,349.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.66 / $1,349.71 / $2,499.46	Professional		$1,248.66	$1,349.71	$2,499.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,699.63 / $1,699.63 / $1,699.63	Professional		$1,699.63	$1,699.63	$1,699.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,854.45 / $2,854.45 / $2,854.45	Facility		$2,854.45	$2,854.45	$2,854.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $1,584.92	Facility		$1,584.92	$1,584.92	$1,584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $1,584.92	Professional		$1,156.99	$1,156.99	$1,584.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,770.12 / $13,221.84 / $13,221.84	Facility		$4,770.12	$13,221.84	$13,221.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,294.89 / $14,294.89 / $20,784.30	Professional		$14,294.89	$14,294.89	$20,784.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $2,216.98 / $2,854.45	Facility		$857.77	$2,216.98	$2,854.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $857.77 / $2,569.01 / $2,854.45	Professional		$857.77	$2,569.01	$2,854.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $2,142.98 / $2,854.45	Facility		$857.77	$2,142.98	$2,854.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $2,304.23	Professional		$1,156.99	$1,156.99	$2,304.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.51 / $1,559.96 / $1,949.95	Professional		$1,054.51	$1,559.96	$1,949.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,534.83 / $1,705.93 / $2,854.45	Professional		$1,534.83	$1,705.93	$2,854.45