Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,336.56 / $2,336.56 / $2,523.48	Facility		$2,336.56	$2,336.56	$2,523.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,336.56 / $2,523.48 / $4,673.12	Professional		$2,336.56	$2,523.48	$4,673.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,336.83 / $5,336.83 / $5,336.83	Facility		$5,336.83	$5,336.83	$5,336.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $4,072.36	Professional		$2,972.82	$2,972.82	$4,072.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,838.84 / $28,628.31 / $33,799.96	Facility		$12,838.84	$28,628.31	$33,799.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40,587.48 / $41,561.60 / $44,265.60	Professional		$40,587.48	$41,561.60	$44,265.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,718.86 / $3,744.22 / $5,336.83	Facility		$1,718.86	$3,744.22	$5,336.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.25 / $4,909.88 / $6,829.20	Professional		$1,738.25	$4,909.88	$6,829.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,718.86 / $3,819.68 / $5,336.83	Facility		$1,718.86	$3,819.68	$5,336.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $4,194.53	Professional		$2,972.82	$2,972.82	$4,194.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,218.73 / $3,282.25 / $4,011.56	Professional		$2,218.73	$3,282.25	$4,011.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,205.32 / $3,229.36 / $5,336.83	Professional		$3,205.32	$3,229.36	$5,336.83