Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.32 / $1,185.10 / $1,207.90	Facility		$1,162.32	$1,185.10	$1,207.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.94 / $1,207.90 / $2,052.89	Professional		$1,093.94	$1,207.90	$2,052.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,602.73 / $2,602.73 / $2,602.73	Facility		$2,602.73	$2,602.73	$2,602.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,196.32	Professional		$1,196.32	$1,196.32	$1,196.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,562.85 / $14,508.26 / $14,508.26	Facility		$12,562.85	$14,508.26	$14,508.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,057.95 / $15,057.95 / $18,251.48	Professional		$15,057.95	$15,057.95	$18,251.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $1,813.86 / $2,602.73	Facility		$783.77	$1,813.86	$2,602.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $783.77 / $2,394.52 / $3,042.01	Professional		$783.77	$2,394.52	$3,042.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $1,739.08 / $2,602.73	Facility		$783.77	$1,739.08	$2,602.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $2,499.89	Professional		$1,196.32	$1,196.32	$2,499.89
United Facility/Professional Facility Modifier Low / Median / High Price $916.71 / $1,203.23 / $1,376.73	Facility		$916.71	$1,203.23	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.72 / $1,444.12 / $1,741.72	Professional		$1,011.72	$1,444.12	$1,741.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,457.93 / $1,482.13 / $2,602.73	Professional		$1,457.93	$1,482.13	$2,602.73