Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.04 / $1,921.04 / $2,074.71	Facility		$1,921.04	$1,921.04	$2,074.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,921.04 / $2,074.71 / $3,842.08	Professional		$1,921.04	$2,074.71	$3,842.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,612.61 / $2,612.61 / $2,612.61	Professional		$2,612.61	$2,612.61	$2,612.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,387.76 / $4,387.76 / $4,387.76	Facility		$4,387.76	$4,387.76	$4,387.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $3,600.52	Facility		$3,600.52	$3,600.52	$3,600.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $3,600.52	Professional		$3,060.44	$3,060.44	$3,600.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,186.55 / $22,238.84 / $22,238.84	Facility		$21,186.55	$22,238.84	$22,238.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,846.16 / $23,846.16 / $37,259.62	Professional		$23,846.16	$23,846.16	$37,259.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.88 / $3,057.85 / $4,387.76	Facility		$1,304.88	$3,057.85	$4,387.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.72 / $3,834.93 / $4,468.60	Professional		$1,614.72	$3,834.93	$4,468.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,304.88 / $3,140.41 / $4,387.76	Facility		$1,304.88	$3,140.41	$4,387.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $3,600.52	Professional		$3,060.44	$3,060.44	$3,600.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,684.38 / $2,491.75 / $3,045.41	Professional		$1,684.38	$2,491.75	$3,045.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,451.59 / $2,478.96 / $4,387.76	Professional		$2,451.59	$2,478.96	$4,387.76