Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.65 / $1,218.65 / $1,316.14	Facility		$1,218.65	$1,218.65	$1,316.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.16 / $1,295.60 / $2,437.30	Professional		$1,121.16	$1,295.60	$2,437.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,783.46 / $2,783.46 / $2,783.46	Facility		$2,783.46	$2,783.46	$2,783.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,620.00	Professional		$1,182.59	$1,182.59	$1,620.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,250.63 / $13,221.44 / $13,221.44	Facility		$11,250.63	$13,221.44	$13,221.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,778.13 / $13,778.13 / $15,657.00	Professional		$13,778.13	$13,778.13	$15,657.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $1,939.81 / $2,783.46	Facility		$672.36	$1,939.81	$2,783.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $2,178.54 / $2,783.46	Professional		$679.95	$2,178.54	$2,783.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $1,859.84 / $2,783.46	Facility		$672.36	$1,859.84	$2,783.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,668.60	Professional		$1,182.59	$1,182.59	$1,668.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,365.94 / $2,783.46	Facility		$2,365.94	$2,365.94	$2,783.46
United Facility/Professional Professional Modifier Low / Median / High Price $867.90 / $1,283.91 / $1,593.75	Professional		$867.90	$1,283.91	$1,593.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,263.23 / $1,275.38 / $2,783.46	Professional		$1,263.23	$1,275.38	$2,783.46