Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,172.31 / $2,172.31 / $2,346.09	Facility		$2,172.31	$2,172.31	$2,346.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,172.31 / $2,346.09 / $4,344.60	Professional		$2,172.31	$2,346.09	$4,344.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,522.79 / $3,522.79 / $3,522.79	Professional		$3,522.79	$3,522.79	$3,522.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,954.33 / $2,954.33 / $2,954.33	Professional		$2,954.33	$2,954.33	$2,954.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,961.67 / $4,961.67 / $4,961.67	Facility		$4,961.67	$4,961.67	$4,961.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $2,044.88	Professional		$2,044.88	$2,044.88	$2,044.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,291.49 / $22,982.54 / $22,982.54	Facility		$8,291.49	$22,982.54	$22,982.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,847.51 / $24,847.51 / $36,128.18	Professional		$24,847.51	$24,847.51	$36,128.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $3,457.80 / $4,961.67	Facility		$1,420.00	$3,457.80	$4,961.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.02 / $4,465.50 / $4,961.67	Professional		$1,436.02	$4,465.50	$4,961.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $3,315.24 / $4,961.67	Facility		$1,420.00	$3,315.24	$4,961.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $4,005.32	Professional		$2,044.88	$2,044.88	$4,005.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,832.97 / $2,711.56 / $3,337.26	Professional		$1,832.97	$2,711.56	$3,337.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,667.87 / $2,965.25 / $4,961.67	Professional		$2,667.87	$2,965.25	$4,961.67