Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.93 / $4,358.97 / $12,216.10	Facility		$1,880.93	$4,358.97	$12,216.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.80 / $1,741.60 / $2,114.80	Professional		$1,492.80	$1,741.60	$2,114.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $2,488.00	Facility		$2,488.00	$2,488.00	$2,488.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.54 / $4,948.63 / $11,085.28	Facility		$1,599.54	$4,948.63	$11,085.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.64 / $3,032.25 / $3,790.31	Professional		$1,318.64	$3,032.25	$3,790.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,980.80 / $11,818.00 / $11,818.00	Facility		$3,980.80	$11,818.00	$11,818.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.44 / $2,488.00 / $2,736.80	Facility		$1,567.44	$2,488.00	$2,736.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,239.19 / $2,488.00 / $2,488.00	Professional		$2,239.19	$2,488.00	$2,488.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,642.08 / $2,488.00 / $3,458.32	Facility		$1,642.08	$2,488.00	$3,458.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,915.76 / $2,363.60 / $2,612.40	Professional		$1,915.76	$2,363.60	$2,612.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,044.96 / $1,741.60	Professional		$1,044.96	$1,044.96	$1,741.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $358.80 / $2,488.00	Professional		$349.83	$358.80	$2,488.00