Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.30 / $1,898.82 / $1,935.33	Facility		$1,862.30	$1,898.82	$1,935.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.75 / $1,935.33 / $3,065.04	Professional		$1,752.75	$1,935.33	$3,065.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,170.20 / $4,170.20 / $4,170.20	Facility		$4,170.20	$4,170.20	$4,170.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $2,507.59	Facility		$2,507.59	$2,507.59	$2,507.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $2,507.59	Professional		$1,830.54	$1,830.54	$2,507.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,876.27 / $18,505.52 / $22,374.02	Facility		$8,876.27	$18,505.52	$22,374.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,060.61 / $28,734.08 / $28,734.08	Professional		$28,060.61	$28,734.08	$28,734.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.80 / $2,885.34 / $4,170.20	Facility		$1,137.80	$2,885.34	$4,170.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.80 / $3,753.18 / $4,266.84	Professional		$1,137.80	$3,753.18	$4,266.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.80 / $2,786.40 / $4,170.20	Facility		$1,137.80	$2,786.40	$4,170.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $2,582.82	Professional		$1,830.54	$1,830.54	$2,582.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.71 / $2,123.90 / $2,528.44	Professional		$1,468.71	$2,123.90	$2,528.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,116.46 / $2,151.62 / $4,170.20	Professional		$2,116.46	$2,151.62	$4,170.20