Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.17 / $1,302.17 / $1,406.34	Facility		$1,302.17	$1,302.17	$1,406.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.17 / $1,406.34 / $2,604.33	Professional		$1,302.17	$1,406.34	$2,604.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,974.22 / $2,974.22 / $2,974.22	Facility		$2,974.22	$2,974.22	$2,974.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $1,496.80	Professional		$1,496.80	$1,496.80	$1,496.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,984.51 / $15,093.28 / $18,087.81	Facility		$5,984.51	$15,093.28	$18,087.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,918.90 / $19,372.95 / $23,832.68	Professional		$18,918.90	$19,372.95	$23,832.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $2,072.73 / $2,974.22	Facility		$919.83	$2,072.73	$2,974.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $930.22 / $2,676.80 / $3,104.89	Professional		$930.22	$2,676.80	$3,104.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $2,050.41 / $2,974.22	Facility		$919.83	$2,050.41	$2,974.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $2,586.82	Professional		$1,496.80	$1,496.80	$2,586.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.34 / $1,788.23 / $2,146.75	Professional		$1,187.34	$1,788.23	$2,146.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,715.30 / $1,728.17 / $2,974.22	Professional		$1,715.30	$1,728.17	$2,974.22