Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.29 / $1,328.29 / $1,434.55	Facility		$1,328.29	$1,328.29	$1,434.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.02 / $1,434.55 / $2,656.57	Professional		$1,222.02	$1,434.55	$2,656.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,033.88 / $3,033.88 / $3,033.88	Facility		$3,033.88	$3,033.88	$3,033.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,769.38	Professional		$1,291.65	$1,291.65	$1,769.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,904.54 / $14,693.79 / $14,693.79	Facility		$12,904.54	$14,693.79	$14,693.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,361.01 / $15,361.01 / $20,591.84	Professional		$15,361.01	$15,361.01	$20,591.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.11 / $2,114.32 / $3,033.88	Facility		$781.11	$2,114.32	$3,033.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $789.93 / $2,728.80 / $3,033.88	Professional		$789.93	$2,728.80	$3,033.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.11 / $2,027.15 / $3,033.88	Facility		$781.11	$2,027.15	$3,033.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,822.46	Professional		$1,291.65	$1,291.65	$1,822.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.28 / $1,491.58 / $1,851.53	Professional		$1,008.28	$1,491.58	$1,851.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,467.54 / $1,481.65 / $3,033.88	Professional		$1,467.54	$1,481.65	$3,033.88