Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.93 / $1,260.93 / $1,361.80	Facility		$1,260.93	$1,260.93	$1,361.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.61 / $1,361.80 / $2,521.86	Professional		$1,182.61	$1,361.80	$2,521.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,880.03 / $2,880.03 / $2,880.03	Facility		$2,880.03	$2,880.03	$2,880.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $1,552.76	Facility		$1,552.76	$1,552.76	$1,552.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $1,133.51	Professional		$1,133.51	$1,133.51	$1,133.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,558.52 / $13,970.56 / $13,970.56	Facility		$13,558.52	$13,970.56	$13,970.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,025.89 / $16,025.89 / $18,637.20	Professional		$16,025.89	$16,025.89	$18,637.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.34 / $2,020.58 / $2,880.03	Facility		$800.34	$2,020.58	$2,880.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $809.38 / $2,592.03 / $3,188.02	Professional		$809.38	$2,592.03	$3,188.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.34 / $1,924.36 / $2,880.03	Facility		$800.34	$1,924.36	$2,880.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $2,650.79	Professional		$1,133.51	$1,133.51	$2,650.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.09 / $1,528.30 / $1,897.11	Professional		$1,033.09	$1,528.30	$1,897.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,503.67 / $1,518.14 / $2,880.03	Professional		$1,503.67	$1,518.14	$2,880.03