Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Facility		$1,258.93	$1,258.93	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,511.89	Professional		$1,258.93	$1,445.44	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,951.21 / $2,951.21	Facility		$79.43	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Professional		$1,995.26	$1,995.26	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility		$14,791.08	$14,791.08	$14,791.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $24,547.09 / $24,547.09	Professional		$15,848.93	$24,547.09	$24,547.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,715.35	Facility		$1,230.27	$2,398.83	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $3,019.95	Professional		$1,258.93	$1,548.82	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,905.46	Professional		$1,862.09	$1,862.09	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $3,890.45	Facility		$1,258.93	$2,344.23	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Professional		$1,995.26	$1,995.26	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,659.59 / $2,089.30	Facility		$446.68	$1,659.59	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,041.74	Professional		$1,122.02	$1,659.59	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21