Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.81 / $1,647.81 / $1,779.63	Facility		$1,647.81	$1,647.81	$1,779.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,647.81 / $1,779.63 / $3,295.61	Professional		$1,647.81	$1,779.63	$3,295.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,672.21 / $2,672.21 / $2,672.21	Professional		$2,672.21	$2,672.21	$2,672.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.01 / $2,241.01 / $2,241.01	Professional		$2,241.01	$2,241.01	$2,241.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,763.68 / $3,763.68 / $3,763.68	Facility		$3,763.68	$3,763.68	$3,763.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $2,264.80	Professional		$1,653.30	$1,653.30	$2,264.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,289.48 / $17,433.41 / $17,433.41	Facility		$6,289.48	$17,433.41	$17,433.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,848.34 / $18,848.34 / $27,404.93	Professional		$18,848.34	$18,848.34	$27,404.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $2,622.91 / $3,763.68	Facility		$1,077.14	$2,622.91	$3,763.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.29 / $3,387.31 / $3,763.68	Professional		$1,089.29	$3,387.31	$3,763.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $2,514.77 / $3,763.68	Facility		$1,077.14	$2,514.77	$3,763.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $2,414.39	Professional		$1,653.30	$1,653.30	$2,414.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.40 / $2,056.85 / $2,513.88	Professional		$1,390.40	$2,056.85	$2,513.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,023.71 / $2,249.31 / $3,763.68	Professional		$2,023.71	$2,249.31	$3,763.68