Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,167.75 / $3,167.75 / $3,421.16	Facility		$3,167.75	$3,167.75	$3,421.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,167.75 / $3,421.16 / $6,335.49	Professional		$3,167.75	$3,421.16	$6,335.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,443.34 / $3,443.34 / $3,443.34	Professional		$3,443.34	$3,443.34	$3,443.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,235.31 / $7,235.31 / $7,235.31	Facility		$7,235.31	$7,235.31	$7,235.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $4,063.89	Facility		$4,063.89	$4,063.89	$4,063.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $4,063.89	Professional		$3,454.31	$3,454.31	$4,063.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31,266.85 / $35,035.43 / $35,035.43	Facility		$31,266.85	$35,035.43	$35,035.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,700.76 / $36,700.76 / $52,683.83	Professional		$36,700.76	$36,700.76	$52,683.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,094.67 / $5,431.95 / $7,235.31	Facility		$2,094.67	$5,431.95	$7,235.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.67 / $6,656.49 / $7,297.15	Professional		$2,094.67	$6,656.49	$7,297.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,094.67 / $4,834.45 / $7,235.31	Facility		$2,094.67	$4,834.45	$7,235.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $4,185.81	Professional		$3,454.31	$3,454.31	$4,185.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,703.86 / $3,999.89 / $4,887.57	Professional		$2,703.86	$3,999.89	$4,887.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,906.15 / $3,935.44 / $7,235.31	Professional		$3,906.15	$3,935.44	$7,235.31