Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Facility		$1,096.48	$1,096.48	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,862.09	Professional		$977.24	$1,174.90	$1,862.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,511.89 / $2,511.89	Facility		$79.43	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $3,090.30	Facility		$1,047.13	$1,905.46	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,290.87	Professional		$1,023.29	$1,202.26	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Professional		$1,412.54	$1,412.54	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $3,162.28	Facility		$1,047.13	$1,862.09	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,344.23	Facility		$630.96	$1,000.00	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,445.44	Professional		$831.76	$1,202.26	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89