Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,459.96 / $2,459.96 / $2,656.76	Facility		$2,459.96	$2,459.96	$2,656.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,607.56 / $4,919.93	Professional		$2,146.96	$2,607.56	$4,919.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,345.55 / $3,345.55 / $3,345.55	Professional		$3,345.55	$3,345.55	$3,345.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,618.69 / $5,618.69 / $5,618.69	Facility		$5,618.69	$5,618.69	$5,618.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $2,741.63	Professional		$2,001.39	$2,001.39	$2,741.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,978.54 / $21,030.00 / $21,030.00	Facility		$7,978.54	$21,030.00	$21,030.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,812.52 / $27,812.52 / $33,481.50	Professional		$27,812.52	$27,812.52	$33,481.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $4,214.02 / $5,618.69	Facility		$1,357.23	$4,214.02	$5,618.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.54 / $4,751.45 / $5,618.69	Professional		$1,372.54	$4,751.45	$5,618.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $3,377.98 / $5,618.69	Facility		$1,357.23	$3,377.98	$5,618.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $3,765.56	Professional		$2,001.39	$2,001.39	$3,765.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.94 / $2,591.69 / $3,239.62	Professional		$1,751.94	$2,591.69	$3,239.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,549.94 / $2,578.42 / $5,618.69	Professional		$2,549.94	$2,578.42	$5,618.69