Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $7,413.10	Facility		$6,918.31	$6,918.31	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,585.78 / $12,882.50	Professional		$6,165.95	$7,585.78	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $16,218.10 / $16,218.10	Facility		$79.43	$16,218.10	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $9,332.54	Professional		$6,918.31	$6,918.31	$9,332.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $75,857.76	Facility		$75,857.76	$75,857.76	$75,857.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95,499.26 / $107,151.93 / $107,151.93	Professional		$95,499.26	$107,151.93	$107,151.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,589.25 / $19,498.45	Facility		$6,760.83	$12,589.25	$19,498.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $8,317.64 / $14,791.08	Professional		$6,309.57	$8,317.64	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,022.64	Professional		$11,748.98	$11,748.98	$12,022.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $19,498.45	Facility		$6,760.83	$11,748.98	$19,498.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $9,332.54	Professional		$6,918.31	$6,918.31	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $16,595.87	Facility		$5,370.32	$10,000.00	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $10,964.78	Professional		$6,025.60	$8,912.51	$10,964.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Professional		$16,218.10	$16,218.10	$16,218.10