Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.83 / $1,218.83 / $1,316.33	Facility		$1,218.83	$1,218.83	$1,316.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.32 / $1,295.80 / $2,437.65	Professional		$1,121.32	$1,295.80	$2,437.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,783.86 / $2,783.86 / $2,783.86	Facility		$2,783.86	$2,783.86	$2,783.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $1,606.19	Facility		$1,606.19	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,606.19	Professional		$1,172.52	$1,172.52	$1,606.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,048.78 / $11,244.11 / $11,244.11	Facility		$11,048.78	$11,244.11	$11,244.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,780.11 / $13,780.11 / $15,659.25	Professional		$13,780.11	$13,780.11	$15,659.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.46 / $1,940.09 / $2,783.86	Facility		$672.46	$1,940.09	$2,783.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.05 / $2,354.17 / $2,783.86	Professional		$680.05	$2,354.17	$2,783.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.46 / $1,860.11 / $2,783.86	Facility		$672.46	$1,860.11	$2,783.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,654.38	Professional		$1,172.52	$1,172.52	$1,654.38
United Facility/Professional Professional Modifier Low / Median / High Price $868.03 / $1,284.09 / $1,569.42	Professional		$868.03	$1,284.09	$1,569.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,263.41 / $1,275.56 / $2,783.86	Professional		$1,263.41	$1,275.56	$2,783.86