Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,410.98 / $2,410.98 / $2,603.86	Facility		$2,410.98	$2,410.98	$2,603.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,065.06 / $2,555.64 / $4,821.96	Professional		$2,065.06	$2,555.64	$4,821.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,278.93 / $3,278.93 / $3,278.93	Professional		$3,278.93	$3,278.93	$3,278.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,506.82 / $5,506.82 / $5,506.82	Facility		$5,506.82	$5,506.82	$5,506.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,148.57	Facility		$3,148.57	$3,148.57	$3,148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $3,148.57	Professional		$2,298.46	$2,298.46	$3,148.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,819.68 / $20,548.93 / $20,548.93	Facility		$7,819.68	$20,548.93	$20,548.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,258.76 / $27,258.76 / $35,284.12	Professional		$27,258.76	$27,258.76	$35,284.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.20 / $4,130.10 / $5,506.82	Facility		$1,330.20	$4,130.10	$5,506.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.21 / $4,680.80 / $5,506.82	Professional		$1,345.21	$4,680.80	$5,506.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.20 / $3,310.73 / $5,506.82	Facility		$1,330.20	$3,310.73	$5,506.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $3,481.78	Professional		$2,298.46	$2,298.46	$3,481.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,717.06 / $2,540.09 / $3,175.12	Professional		$1,717.06	$2,540.09	$3,175.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,499.16 / $2,542.58 / $5,506.82	Professional		$2,499.16	$2,542.58	$5,506.82