Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,019.95	Facility		$2,818.38	$2,818.38	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,495.41	Professional		$2,691.53	$3,090.30	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $6,456.54 / $6,456.54	Facility		$79.43	$6,456.54	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Facility		$30,902.95	$30,902.95	$30,902.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $46,773.51 / $46,773.51	Professional		$32,359.37	$46,773.51	$46,773.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,025.60 / $7,943.28	Facility		$1,862.09	$6,025.60	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $6,606.93	Professional		$2,754.23	$3,467.37	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,677.35	Professional		$4,570.88	$4,570.88	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $7,943.28	Facility		$2,754.23	$5,248.07	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $6,606.93	Facility		$2,137.96	$4,265.80	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $4,365.16	Professional		$2,398.83	$3,548.13	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,456.54 / $6,456.54	Professional		$3,467.37	$6,456.54	$6,456.54