Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Facility		$1,288.25	$1,288.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,570.40	Professional		$1,230.27	$1,445.44	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,019.95 / $3,019.95	Facility		$79.43	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,041.74	Professional		$1,513.56	$1,513.56	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $23,988.33 / $23,988.33	Professional		$19,498.45	$23,988.33	$23,988.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,981.07	Facility		$1,288.25	$2,511.89	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,162.28	Professional		$1,288.25	$1,659.59	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Professional		$1,659.59	$1,659.59	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $4,168.69	Facility		$1,288.25	$2,344.23	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,041.74	Professional		$1,513.56	$1,513.56	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $3,311.31	Facility		$1,071.52	$1,995.26	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,187.76	Professional		$1,174.90	$1,737.80	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95