Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.61 / $1,471.61 / $1,589.33	Facility		$1,471.61	$1,471.61	$1,589.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.34 / $1,589.33 / $2,943.21	Professional		$1,345.34	$1,589.33	$2,943.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,001.38 / $2,001.38 / $2,001.38	Professional		$2,001.38	$2,001.38	$2,001.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,361.23 / $3,361.23 / $3,361.23	Facility		$3,361.23	$3,361.23	$3,361.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,283.76	Professional		$1,667.14	$1,667.14	$2,283.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,660.73 / $14,087.74 / $16,970.52	Facility		$6,660.73	$14,087.74	$16,970.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,640.13 / $19,087.47 / $20,945.48	Professional		$18,640.13	$19,087.47	$20,945.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.01 / $2,523.46 / $3,361.23	Facility		$863.01	$2,523.46	$3,361.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $872.75 / $3,025.11 / $3,361.23	Professional		$872.75	$3,025.11	$3,361.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.01 / $2,283.76 / $3,361.23	Facility		$863.01	$2,283.76	$3,361.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,434.60	Professional		$1,667.14	$1,667.14	$2,434.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,647.97 / $2,014.15	Professional		$1,114.00	$1,647.97	$2,014.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,619.41 / $1,621.42 / $3,361.23	Professional		$1,619.41	$1,621.42	$3,361.23