Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,708.95 / $3,708.95 / $19,090.96	Facility		$3,708.95	$3,708.95	$19,090.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,708.95 / $4,005.66 / $7,417.89	Professional		$3,708.95	$4,005.66	$7,417.89
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $8,471.44 / $8,471.44 / $8,471.44	Facility		$8,471.44	$8,471.44	$8,471.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $4,751.45	Facility		$4,751.45	$4,751.45	$4,751.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,038.73 / $4,751.45	Professional		$4,038.73	$4,038.73	$4,751.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,483.70 / $39,447.21 / $41,007.75	Facility		$17,483.70	$39,447.21	$41,007.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,201.91 / $42,201.91 / $63,121.35	Professional		$42,201.91	$42,201.91	$63,121.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,571.52 / $6,682.78 / $8,471.44	Facility		$2,571.52	$6,682.78	$8,471.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.52 / $7,793.72 / $8,471.44	Professional		$2,571.52	$7,793.72	$8,471.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,571.52 / $5,861.35 / $8,471.44	Facility		$2,571.52	$5,861.35	$8,471.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,038.73 / $6,055.85	Professional		$4,038.73	$4,038.73	$6,055.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,161.31 / $4,676.63 / $5,715.75	Professional		$3,161.31	$4,676.63	$5,715.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,058.70 / $6,450.00 / $8,471.44	Professional		$6,058.70	$6,450.00	$8,471.44