Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.34 / $1,077.34 / $1,163.54	Facility		$1,077.34	$1,077.34	$1,163.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.43 / $1,163.54 / $2,154.69	Professional		$1,076.43	$1,163.54	$2,154.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,465.20 / $1,465.20 / $1,465.20	Professional		$1,465.20	$1,465.20	$1,465.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,460.73 / $2,460.73 / $2,460.73	Facility		$2,460.73	$2,460.73	$2,460.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,366.32	Professional		$997.41	$997.41	$1,366.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,112.12 / $11,410.07 / $11,410.07	Facility		$4,112.12	$11,410.07	$11,410.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,323.41 / $12,323.41 / $17,917.73	Professional		$12,323.41	$12,323.41	$17,917.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $1,911.22 / $2,460.73	Facility		$739.46	$1,911.22	$2,460.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $739.46 / $2,263.87 / $2,460.73	Professional		$739.46	$2,263.87	$2,460.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $1,847.40 / $2,460.73	Facility		$739.46	$1,847.40	$2,460.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,986.44	Professional		$997.41	$997.41	$1,986.44
United Facility/Professional Professional Modifier Low / Median / High Price $909.06 / $1,344.80 / $1,643.61	Professional		$909.06	$1,344.80	$1,643.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,323.13 / $1,335.86 / $2,460.73	Professional		$1,323.13	$1,335.86	$2,460.73