Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,817.11 / $2,817.11 / $3,042.48	Facility		$2,817.11	$2,817.11	$3,042.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,817.11 / $3,042.48 / $5,634.22	Professional		$2,817.11	$3,042.48	$5,634.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,434.44 / $6,434.44 / $6,434.44	Facility		$6,434.44	$6,434.44	$6,434.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $4,865.01	Professional		$3,551.46	$3,551.46	$4,865.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,266.82 / $33,007.53 / $39,095.40	Facility		$15,266.82	$33,007.53	$39,095.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46,658.93 / $47,778.75 / $47,778.75	Professional		$46,658.93	$47,778.75	$47,778.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $4,605.28 / $6,434.44	Facility		$1,988.15	$4,605.28	$6,434.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.59 / $5,791.00 / $8,230.61	Professional		$2,010.59	$5,791.00	$8,230.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $4,605.28 / $6,434.44	Facility		$1,988.15	$4,605.28	$6,434.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $5,010.96	Professional		$3,551.46	$3,551.46	$5,010.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,566.35 / $3,796.48 / $4,640.05	Professional		$2,566.35	$3,796.48	$4,640.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,735.31 / $3,772.23 / $6,434.44	Professional		$3,735.31	$3,772.23	$6,434.44