Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,826.00	Facility		$983.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.06 / $1,327.09 / $1,395.28	Professional		$1,207.06	$1,327.09	$1,395.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,555.88 / $1,555.88 / $1,555.88	Facility		$1,555.88	$1,555.88	$1,555.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,478.08 / $6,478.08 / $6,478.08	Professional		$6,478.08	$6,478.08	$6,478.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,348.17 / $16,334.34 / $17,698.66	Facility		$13,348.17	$16,334.34	$17,698.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,336.08 / $10,113.68 / $11,780.78	Professional		$9,336.08	$10,113.68	$11,780.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.89 / $1,395.28 / $2,647.83	Facility		$1,211.89	$1,395.28	$2,647.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.22 / $1,231.22 / $1,236.94	Professional		$1,231.22	$1,231.22	$1,236.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.06 / $1,395.28 / $2,704.55	Facility		$1,207.06	$1,395.28	$2,704.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,236.94 / $1,778.03 / $6,478.08	Professional		$1,236.94	$1,778.03	$6,478.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,194.00	Facility		$2,614.00	$7,953.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.06 / $1,475.96 / $2,408.69	Professional		$1,069.06	$1,475.96	$2,408.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,231.22 / $1,357.86 / $1,700.35	Professional		$1,231.22	$1,357.86	$1,700.35