Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.07 / $3,852.84 / $10,725.40	Facility		$1,453.07	$3,852.84	$10,725.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.91 / $1,585.17 / $2,641.95	Professional		$1,232.91	$1,585.17	$2,641.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,201.62 / $2,201.62 / $2,201.62	Facility		$2,201.62	$2,201.62	$2,201.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.98 / $1,540.41 / $5,520.27	Facility		$1,390.98	$1,540.41	$5,520.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,201.69 / $2,529.63 / $3,162.03	Professional		$2,201.69	$2,529.63	$3,162.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,522.59 / $10,457.70 / $10,457.70	Facility		$3,522.59	$10,457.70	$10,457.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.99 / $2,201.62 / $2,641.94	Facility		$1,342.99	$2,201.62	$2,641.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,981.46 / $2,201.62 / $2,201.62	Professional		$1,981.46	$2,201.62	$2,201.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.99 / $2,201.62 / $2,641.95	Facility		$1,342.99	$2,201.62	$2,641.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,695.25 / $2,091.54 / $2,322.71	Professional		$1,695.25	$2,091.54	$2,322.71
United Facility/Professional Professional Modifier Low / Median / High Price $924.68 / $924.68 / $1,320.97	Professional		$924.68	$924.68	$1,320.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.34 / $2,201.62	Professional		$12.04	$12.34	$2,201.62