Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.32 / $1,043.32 / $1,126.78	Facility		$1,043.32	$1,043.32	$1,126.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.66 / $1,126.78 / $2,086.63	Professional		$968.66	$1,126.78	$2,086.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,382.98 / $2,382.98 / $2,382.98	Facility		$2,382.98	$2,382.98	$2,382.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,271.83	Professional		$928.44	$928.44	$1,271.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,740.54 / $11,043.30 / $12,890.74	Facility		$4,740.54	$11,043.30	$12,890.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,318.42 / $14,662.04 / $17,074.58	Professional		$14,318.42	$14,662.04	$17,074.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.54 / $1,660.70 / $2,382.98	Facility		$655.54	$1,660.70	$2,382.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $662.94 / $2,144.69 / $2,487.96	Professional		$662.94	$2,144.69	$2,487.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.54 / $1,592.23 / $2,382.98	Facility		$655.54	$1,592.23	$2,382.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,309.98	Professional		$928.44	$928.44	$1,309.98
United Facility/Professional Professional Modifier Low / Median / High Price $846.19 / $1,251.79 / $1,564.74	Professional		$846.19	$1,251.79	$1,564.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,231.63 / $1,243.47 / $2,382.98	Professional		$1,231.63	$1,243.47	$2,382.98