Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,659.59	Facility		$1,513.56	$1,513.56	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $3,019.95	Professional		$1,513.56	$1,737.80	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,548.13 / $3,548.13	Facility		$79.43	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $29,512.09 / $29,512.09	Professional		$19,054.61	$29,512.09	$29,512.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $4,466.84	Facility		$1,513.56	$2,884.03	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,630.78	Professional		$1,513.56	$1,905.46	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Professional		$2,238.72	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $4,786.30	Facility		$1,548.82	$2,818.38	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,995.26 / $2,570.40	Facility		$537.03	$1,995.26	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,454.71	Professional		$1,348.96	$1,995.26	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13