Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.83 / $1,331.83 / $1,438.38	Facility		$1,331.83	$1,331.83	$1,438.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.83 / $1,468.33 / $2,663.66	Professional		$1,331.83	$1,468.33	$2,663.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.70 / $1,447.70 / $1,811.29	Professional		$1,447.70	$1,447.70	$1,811.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,041.98 / $3,041.98 / $3,041.98	Facility		$3,041.98	$3,041.98	$3,041.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,253.75	Professional		$1,915.69	$1,915.69	$2,253.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,333.41 / $15,475.07 / $15,475.07	Facility		$15,333.41	$15,475.07	$15,475.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,294.04 / $17,709.08 / $25,931.10	Professional		$17,294.04	$17,709.08	$25,931.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $2,119.98 / $3,041.98	Facility		$950.61	$2,119.98	$3,041.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.43 / $2,658.71 / $3,105.67	Professional		$1,119.43	$2,658.71	$3,105.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $2,177.21 / $3,041.98	Facility		$950.61	$2,177.21	$3,041.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,321.36	Professional		$1,915.69	$1,915.69	$2,321.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $1,815.23 / $2,234.11	Professional		$1,227.07	$1,815.23	$2,234.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,785.98 / $1,790.67 / $3,041.98	Professional		$1,785.98	$1,790.67	$3,041.98