Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,321.67 / $4,067.02 / $5,577.90	Professional		$3,321.67	$4,067.02	$5,577.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,881.16 / $2,881.16 / $2,881.16	Professional		$2,881.16	$2,881.16	$2,881.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,157.50 / $7,157.50 / $7,157.50	Facility		$7,157.50	$7,157.50	$7,157.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $5,106.14 / $5,106.14	Professional		$616.89	$5,106.14	$5,106.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,054.45 / $33,203.46 / $34,413.99	Facility		$12,054.45	$33,203.46	$34,413.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.27 / $2,251.00 / $5,041.32	Facility		$477.27	$2,251.00	$5,041.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $621.96 / $731.07 / $5,989.92	Professional		$621.96	$731.07	$5,989.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.29 / $2,251.00 / $5,106.14	Facility		$540.29	$2,251.00	$5,106.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $5,106.14 / $5,106.14	Professional		$560.27	$5,106.14	$5,106.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,743.30 / $2,443.67 / $4,502.00	Professional		$1,743.30	$2,443.67	$4,502.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,923.84 / $4,969.71 / $4,969.71	Professional		$4,923.84	$4,969.71	$4,969.71