Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,547.68 / $4,547.68 / $4,911.51	Facility		$4,547.68	$4,547.68	$4,911.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,547.68 / $4,911.51 / $9,095.37	Professional		$4,547.68	$4,911.51	$9,095.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7,374.90 / $7,374.90 / $7,374.90	Professional		$7,374.90	$7,374.90	$7,374.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,184.86 / $6,184.86 / $6,184.86	Professional		$6,184.86	$6,184.86	$6,184.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,387.18 / $10,387.18 / $10,387.18	Facility		$10,387.18	$10,387.18	$10,387.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $7,503.37	Facility		$7,503.37	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $7,503.37	Professional		$5,477.46	$5,477.46	$7,503.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,065.07 / $48,813.24 / $48,813.24	Facility		$18,065.07	$48,813.24	$48,813.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54,698.83 / $54,698.83 / $70,654.88	Professional		$54,698.83	$54,698.83	$70,654.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $7,238.86 / $10,387.18	Facility		$3,034.15	$7,238.86	$10,387.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,068.39 / $9,348.45 / $10,709.42	Professional		$3,068.39	$9,348.45	$10,709.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $7,434.31 / $10,387.18	Facility		$3,034.15	$7,434.31	$10,387.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $7,998.97	Professional		$5,477.46	$5,477.46	$7,998.97
United Facility/Professional Professional Modifier Low / Median / High Price $3,916.55 / $5,793.87 / $7,081.25	Professional		$3,916.55	$5,793.87	$7,081.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,700.52 / $6,543.68 / $10,387.18	Professional		$5,700.52	$6,543.68	$10,387.18