Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.87 / $2,115.87 / $2,285.14	Facility		$2,115.87	$2,115.87	$2,285.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.87 / $2,285.14 / $4,231.74	Professional		$2,115.87	$2,285.14	$4,231.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,832.77 / $4,832.77 / $4,832.77	Facility		$4,832.77	$4,832.77	$4,832.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $3,578.08	Facility		$3,578.08	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $2,612.00	Professional		$2,612.00	$2,612.00	$2,612.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,269.36 / $25,854.57 / $30,607.53	Facility		$14,269.36	$25,854.57	$30,607.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45,109.85 / $46,192.50 / $46,192.50	Professional		$45,109.85	$46,192.50	$46,192.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,556.51 / $3,367.98 / $4,832.77	Facility		$1,556.51	$3,367.98	$4,832.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.08 / $4,405.68 / $5,418.13	Professional		$1,574.08	$4,405.68	$5,418.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.51 / $3,458.91 / $4,832.77	Facility		$1,556.51	$3,458.91	$4,832.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $4,505.08	Professional		$2,612.00	$2,612.00	$4,505.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.18 / $2,972.24 / $3,715.30	Professional		$2,009.18	$2,972.24	$3,715.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,924.35 / $2,952.48 / $4,832.77	Professional		$2,924.35	$2,952.48	$4,832.77