Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,289.39 / $2,289.39 / $2,472.54	Facility		$2,289.39	$2,289.39	$2,472.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,181.77 / $2,472.54 / $4,578.78	Professional		$2,181.77	$2,472.54	$4,578.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,229.10 / $5,229.10 / $5,229.10	Facility		$5,229.10	$5,229.10	$5,229.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $3,670.30	Professional		$2,679.32	$2,679.32	$3,670.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,492.50 / $29,034.76 / $29,034.76	Facility		$24,492.50	$29,034.76	$29,034.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,123.14 / $30,846.11 / $34,383.30	Professional		$30,123.14	$30,846.11	$34,383.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,476.53 / $3,644.18 / $5,229.10	Facility		$1,476.53	$3,644.18	$5,229.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.19 / $4,706.18 / $5,970.61	Professional		$1,493.19	$4,706.18	$5,970.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.53 / $3,668.64 / $5,229.10	Facility		$1,476.53	$3,668.64	$5,229.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $3,780.41	Professional		$2,679.32	$2,679.32	$3,780.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.94 / $2,819.51 / $3,445.99	Professional		$1,905.94	$2,819.51	$3,445.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,774.09 / $2,800.76 / $5,229.10	Professional		$2,774.09	$2,800.76	$5,229.10