Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.68 / $1,403.68 / $2,080.19	Professional		$1,168.68	$1,403.68	$2,080.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,669.30 / $2,669.30 / $2,669.30	Facility		$2,669.30	$2,669.30	$2,669.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $2,583.51	Facility		$1,639.62	$1,639.62	$2,583.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,639.62 / $1,639.62	Professional		$198.09	$1,639.62	$1,639.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,348.43 / $11,977.62 / $12,414.27	Facility		$4,348.43	$11,977.62	$12,414.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.93 / $1,146.34 / $2,004.10	Facility		$266.93	$1,146.34	$2,004.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.58 / $730.80 / $2,234.00	Professional		$245.58	$730.80	$2,234.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.93 / $981.67 / $1,910.58	Facility		$266.93	$981.67	$1,910.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $1,639.62 / $1,639.62	Professional		$188.66	$1,639.62	$1,639.62
United Facility/Professional Professional Modifier Low / Median / High Price $936.17 / $1,121.83 / $1,623.99	Professional		$936.17	$1,121.83	$1,623.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,703.49 / $1,997.01 / $1,997.01	Professional		$1,703.49	$1,997.01	$1,997.01