Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.34 / $1,345.34 / $1,452.97	Facility		$1,345.34	$1,345.34	$1,452.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.71 / $1,430.30 / $2,690.68	Professional		$1,237.71	$1,430.30	$2,690.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,072.83 / $3,072.83 / $3,072.83	Facility		$3,072.83	$3,072.83	$3,072.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,823.10	Professional		$1,330.86	$1,330.86	$1,823.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,483.67 / $13,402.65 / $13,402.65	Facility		$12,483.67	$13,402.65	$13,402.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,210.51 / $15,210.51 / $20,443.65	Professional		$15,210.51	$15,210.51	$20,443.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $2,141.46 / $3,072.83	Facility		$751.32	$2,141.46	$3,072.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.80 / $2,598.53 / $3,072.83	Professional		$759.80	$2,598.53	$3,072.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $2,053.17 / $3,072.83	Facility		$751.32	$2,053.17	$3,072.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,877.79	Professional		$1,330.86	$1,330.86	$1,877.79
United Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,434.70 / $1,780.92	Professional		$969.83	$1,434.70	$1,780.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,411.58 / $1,425.16 / $3,072.83	Professional		$1,411.58	$1,425.16	$3,072.83