Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,794.63 / $3,794.63 / $4,098.20	Facility		$3,794.63	$3,794.63	$4,098.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,284.26 / $4,034.28 / $7,589.26	Professional		$3,284.26	$4,034.28	$7,589.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,160.70 / $5,160.70 / $5,160.70	Professional		$5,160.70	$5,160.70	$5,160.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $8,667.15 / $8,667.15 / $8,667.15	Facility		$8,667.15	$8,667.15	$8,667.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $4,423.18	Professional		$3,228.92	$3,228.92	$4,423.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,307.35 / $33,517.87 / $33,517.87	Facility		$12,307.35	$33,517.87	$33,517.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,902.39 / $42,902.39 / $55,319.10	Professional		$42,902.39	$42,902.39	$55,319.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,093.60 / $6,506.90 / $8,667.15	Facility		$2,093.60	$6,506.90	$8,667.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,117.21 / $7,329.37 / $8,667.15	Professional		$2,117.21	$7,329.37	$8,667.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,093.60 / $5,210.72 / $8,667.15	Facility		$2,093.60	$5,210.72	$8,667.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $6,030.35	Professional		$3,228.92	$3,228.92	$6,030.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,702.47 / $3,997.84 / $4,962.60	Professional		$2,702.47	$3,997.84	$4,962.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,933.42 / $3,971.24 / $8,667.15	Professional		$3,933.42	$3,971.24	$8,667.15