Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $5,128.61	Facility		$2,818.38	$4,570.88	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $10,000.00	Professional		$4,073.80	$5,128.61	$10,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,585.78	Professional		$6,456.54	$6,456.54	$7,585.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $56,234.13	Facility		$56,234.13	$56,234.13	$56,234.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $56,234.13 / $72,443.60 / $72,443.60	Professional		$56,234.13	$72,443.60	$72,443.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,918.31 / $13,803.84	Facility		$4,570.88	$6,918.31	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,570.88 / $8,511.38	Professional		$4,265.80	$4,570.88	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $14,125.38 / $14,791.08	Professional		$81.28	$14,125.38	$14,791.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $18,197.01	Facility		$5,011.87	$10,000.00	$18,197.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,585.78	Professional		$6,456.54	$6,456.54	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,413.10 / $14,125.38	Facility		$4,677.35	$7,413.10	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $13,489.63	Professional		$4,677.35	$5,495.41	$13,489.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Professional		$15,848.93	$15,848.93	$15,848.93