Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,527.73 / $5,055.46 / $28,689.38	Facility		$2,527.73	$5,055.46	$28,689.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.73 / $2,729.95 / $5,055.46	Professional		$2,527.73	$2,729.95	$5,055.46
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 $5,773.49 / $5,773.49 / $5,773.49	Facility		$5,773.49	$5,773.49	$5,773.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $3,855.99 / $4,536.46	Professional		$3,855.99	$3,855.99	$4,536.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,648.04 / $26,749.15 / $26,749.15	Facility		$9,648.04	$26,749.15	$26,749.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,971.25 / $28,971.25 / $42,039.53	Professional		$28,971.25	$28,971.25	$42,039.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,652.75 / $4,338.80 / $5,773.49	Facility		$1,652.75	$4,338.80	$5,773.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $5,311.61 / $5,773.49	Professional		$1,652.75	$5,311.61	$5,773.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,652.75 / $4,338.80 / $5,773.49	Facility		$1,652.75	$4,338.80	$5,773.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $3,855.99 / $4,660.68	Professional		$3,855.99	$3,855.99	$4,660.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,133.41 / $3,156.02 / $3,860.63	Professional		$2,133.41	$3,156.02	$3,860.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,096.92 / $3,541.41 / $5,773.49	Professional		$3,096.92	$3,541.41	$5,773.49