Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.51 / $1,153.51 / $1,245.79	Facility		$1,153.51	$1,153.51	$1,245.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.51 / $1,245.79 / $2,307.02	Professional		$1,153.51	$1,245.79	$2,307.02
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 $2,634.68 / $2,634.68 / $2,634.68	Facility		$2,634.68	$2,634.68	$2,634.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $1,482.94	Facility		$1,482.94	$1,482.94	$1,482.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $1,482.94	Professional		$1,260.50	$1,260.50	$1,482.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,409.47 / $12,757.93 / $12,757.93	Facility		$11,409.47	$12,757.93	$12,757.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,194.36 / $13,194.36 / $19,538.40	Professional		$13,194.36	$13,194.36	$19,538.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $764.36 / $1,836.12 / $2,634.68	Facility		$764.36	$1,836.12	$2,634.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $764.36 / $2,423.91 / $2,634.68	Professional		$764.36	$2,423.91	$2,634.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.36 / $1,760.42 / $2,634.68	Facility		$764.36	$1,760.42	$2,634.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $1,527.43	Professional		$1,260.50	$1,260.50	$1,527.43
United Facility/Professional Professional Modifier Low / Median / High Price $986.66 / $1,459.59 / $1,783.90	Professional		$986.66	$1,459.59	$1,783.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,425.38 / $1,436.07 / $2,634.68	Professional		$1,425.38	$1,436.07	$2,634.68