Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,266.49 / $1,367.80	Facility		$1,266.49	$1,266.49	$1,367.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.49 / $1,367.80 / $2,532.96	Professional		$1,266.49	$1,367.80	$2,532.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,722.42 / $1,722.42 / $1,722.42	Professional		$1,722.42	$1,722.42	$1,722.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,892.73 / $2,892.73 / $2,892.73	Facility		$2,892.73	$2,892.73	$2,892.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $2,373.71	Facility		$2,373.71	$2,373.71	$2,373.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $2,373.71	Professional		$2,017.65	$2,017.65	$2,373.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,967.65 / $14,660.64 / $14,660.64	Facility		$13,967.65	$14,660.64	$14,660.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,721.15 / $15,721.15 / $24,564.30	Professional		$15,721.15	$15,721.15	$24,564.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.27 / $2,015.96 / $2,892.73	Facility		$860.27	$2,015.96	$2,892.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.49 / $2,528.26 / $2,945.88	Professional		$1,064.49	$2,528.26	$2,945.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.27 / $2,070.39 / $2,892.73	Facility		$860.27	$2,070.39	$2,892.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $2,373.71	Professional		$2,017.65	$2,017.65	$2,373.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.46 / $1,642.73 / $2,007.74	Professional		$1,110.46	$1,642.73	$2,007.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,616.26 / $1,624.28 / $2,892.73	Professional		$1,616.26	$1,624.28	$2,892.73