Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,695.36 / $12,695.36 / $13,710.98	Facility		$12,695.36	$12,695.36	$13,710.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,695.36 / $13,710.98 / $25,390.71	Professional		$12,695.36	$13,710.98	$25,390.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,265.68 / $17,265.68 / $17,265.68	Professional		$17,265.68	$17,265.68	$17,265.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $28,996.90 / $28,996.90 / $28,996.90	Facility		$28,996.90	$28,996.90	$28,996.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $16,524.00	Facility		$16,524.00	$16,524.00	$16,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $12,062.52 / $16,524.00	Professional		$12,062.52	$12,062.52	$16,524.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48,456.81 / $134,345.48 / $134,345.48	Facility		$48,456.81	$134,345.48	$134,345.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $145,505.29 / $145,505.29 / $211,139.70	Professional		$145,505.29	$145,505.29	$211,139.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.19 / $18,876.68 / $28,996.90	Facility		$535.19	$18,876.68	$28,996.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18,876.68 / $26,677.15 / $28,996.90	Professional		$18,876.68	$26,677.15	$28,996.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.19 / $18,876.68 / $28,996.90	Facility		$535.19	$18,876.68	$28,996.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $12,062.52 / $23,407.84	Professional		$12,062.52	$12,062.52	$23,407.84
United Facility/Professional Professional Modifier Low / Median / High Price $10,714.88 / $15,850.85 / $19,813.56	Professional		$10,714.88	$15,850.85	$19,813.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15,534.59 / $22,275.00 / $28,996.90	Professional		$15,534.59	$22,275.00	$28,996.90