Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,893.57 / $6,893.57 / $7,445.06	Facility		$6,893.57	$6,893.57	$7,445.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,822.19 / $7,445.06 / $13,787.14	Professional		$6,822.19	$7,445.06	$13,787.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,375.26 / $9,375.26 / $9,375.26	Professional		$9,375.26	$9,375.26	$9,375.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $15,745.30 / $15,745.30 / $15,745.30	Facility		$15,745.30	$15,745.30	$15,745.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $9,418.01	Professional		$6,875.15	$6,875.15	$9,418.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74,662.03 / $76,453.96 / $76,453.96	Facility		$74,662.03	$76,453.96	$76,453.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95,185.18 / $95,185.18 / $107,513.33	Professional		$95,185.18	$95,185.18	$107,513.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,616.97 / $10,972.96 / $15,745.30	Facility		$4,616.97	$10,972.96	$15,745.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,669.08 / $14,170.77 / $15,745.30	Professional		$4,669.08	$14,170.77	$15,745.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,616.97 / $10,520.58 / $15,745.30	Facility		$4,616.97	$10,520.58	$15,745.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $10,040.07	Professional		$6,875.15	$6,875.15	$10,040.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $5,959.70 / $8,816.36 / $10,775.32	Professional		$5,959.70	$8,816.36	$10,775.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8,609.76 / $8,674.33 / $15,745.30	Professional		$8,609.76	$8,674.33	$15,745.30