Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.16 / $1,989.42 / $2,385.33	Professional		$1,716.16	$1,989.42	$2,385.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,611.14 / $1,611.14 / $1,611.14	Facility		$1,611.14	$1,611.14	$1,611.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,848.46 / $2,426.15 / $3,800.96	Professional		$1,848.46	$2,426.15	$3,800.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,516.48	Facility		$55.00	$55.00	$31,516.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,364.32 / $12,685.52 / $15,157.95	Professional		$12,364.32	$12,685.52	$15,157.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,724.52 / $2,154.57 / $3,981.39	Facility		$1,724.52	$2,154.57	$3,981.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,227.84 / $2,570.58 / $2,999.01	Professional		$2,227.84	$2,570.58	$2,999.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,724.52 / $2,154.57 / $4,083.07	Facility		$1,724.52	$2,154.57	$4,083.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,848.46 / $2,493.71 / $4,040.49	Professional		$1,848.46	$2,493.71	$4,040.49
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,516.34 / $1,990.20 / $3,183.47	Professional		$1,516.34	$1,990.20	$3,183.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,462.61 / $1,680.58 / $2,285.56	Professional		$1,462.61	$1,680.58	$2,285.56