Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,788.34 / $2,788.34 / $3,011.40	Facility		$2,788.34	$2,788.34	$3,011.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,788.34 / $3,011.40 / $5,576.67	Professional		$2,788.34	$3,011.40	$5,576.67
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 $3,030.92 / $3,030.92 / $3,030.92	Professional		$3,030.92	$3,030.92	$3,030.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,368.72 / $6,368.72 / $6,368.72	Facility		$6,368.72	$6,368.72	$6,368.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $3,799.01	Professional		$3,229.16	$3,229.16	$3,799.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,521.96 / $30,839.28 / $30,839.28	Facility		$27,521.96	$30,839.28	$30,839.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,305.11 / $32,305.11 / $46,373.63	Professional		$32,305.11	$32,305.11	$46,373.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,843.79 / $4,781.35 / $6,368.72	Facility		$1,843.79	$4,781.35	$6,368.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.79 / $5,859.22 / $6,423.14	Professional		$1,843.79	$5,859.22	$6,423.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,843.79 / $4,255.41 / $6,368.72	Facility		$1,843.79	$4,255.41	$6,368.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $3,912.98	Professional		$3,229.16	$3,229.16	$3,912.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,380.01 / $3,520.82 / $4,370.46	Professional		$2,380.01	$3,520.82	$4,370.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,438.30 / $3,464.09 / $6,368.72	Professional		$3,438.30	$3,464.09	$6,368.72