Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.22 / $1,715.22 / $1,852.44	Facility		$1,715.22	$1,715.22	$1,852.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,715.22 / $1,852.44 / $3,430.44	Professional		$1,715.22	$1,852.44	$3,430.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,332.69 / $2,332.69 / $2,332.69	Professional		$2,332.69	$2,332.69	$2,332.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,917.66 / $3,917.66 / $3,917.66	Facility		$3,917.66	$3,917.66	$3,917.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $3,214.74	Professional		$2,732.53	$2,732.53	$3,214.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,916.50 / $19,856.05 / $19,856.05	Facility		$18,916.50	$19,856.05	$19,856.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,291.26 / $21,291.26 / $33,267.60	Professional		$21,291.26	$21,291.26	$33,267.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.07 / $2,730.23 / $3,917.66	Facility		$1,165.07	$2,730.23	$3,917.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.22 / $3,424.00 / $3,917.66	Professional		$1,178.22	$3,424.00	$3,917.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.07 / $2,803.95 / $3,917.66	Facility		$1,165.07	$2,803.95	$3,917.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $3,214.74	Professional		$2,732.53	$2,732.53	$3,214.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.90 / $2,224.76 / $2,719.10	Professional		$1,503.90	$2,224.76	$2,719.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,188.92 / $2,199.78 / $3,917.66	Professional		$2,188.92	$2,199.78	$3,917.66