Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.43 / $1,452.33 / $1,958.45	Professional		$1,144.43	$1,452.33	$1,958.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,513.00 / $2,513.00 / $2,513.00	Facility		$2,513.00	$2,513.00	$2,513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $2,550.10	Facility		$1,450.41	$1,450.41	$2,550.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $1,232.84 / $1,450.41	Professional		$1,232.84	$1,232.84	$1,450.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,257.83 / $11,728.00 / $12,155.63	Facility		$4,257.83	$11,728.00	$12,155.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $630.20 / $1,886.76	Facility		$251.30	$630.20	$1,886.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.20 / $1,834.76 / $1,966.98	Professional		$630.20	$1,834.76	$1,966.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.30 / $630.20 / $1,841.05	Facility		$251.30	$630.20	$1,841.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.20 / $1,232.84 / $1,834.76	Professional		$630.20	$1,232.84	$1,834.76
United Facility/Professional Professional Modifier Low / Median / High Price $882.25 / $1,098.47 / $1,464.63	Professional		$882.25	$1,098.47	$1,464.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,667.89 / $1,924.11 / $1,924.11	Professional		$1,667.89	$1,924.11	$1,924.11