Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,084.33 / $2,418.53 / $3,787.35	Professional		$2,084.33	$2,418.53	$3,787.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,397.17 / $2,397.17 / $2,397.17	Facility		$2,397.17	$2,397.17	$2,397.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,654.68 / $3,482.86 / $5,126.02	Professional		$2,654.68	$3,482.86	$5,126.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $34,419.72	Facility		$55.00	$55.00	$34,419.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,482.93 / $18,482.93 / $22,954.05	Professional		$18,482.93	$18,482.93	$22,954.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,397.92 / $3,185.72 / $5,769.94	Facility		$2,397.92	$3,185.72	$5,769.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.90 / $3,858.25 / $4,539.10	Professional		$2,773.90	$3,858.25	$4,539.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,397.92 / $3,222.19 / $5,916.16	Facility		$2,397.92	$3,222.19	$5,916.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,667.81 / $3,543.00 / $5,208.54	Professional		$2,667.81	$3,543.00	$5,208.54
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 $2,034.94 / $2,831.44 / $4,530.58	Professional		$2,034.94	$2,831.44	$4,530.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,152.21 / $2,443.44 / $3,348.28	Professional		$2,152.21	$2,443.44	$3,348.28