Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,526.18 / $4,526.18 / $4,888.27	Facility		$4,526.18	$4,526.18	$4,888.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,526.18 / $4,888.27 / $9,052.35	Professional		$4,526.18	$4,888.27	$9,052.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,338.04 / $10,338.04 / $10,338.04	Facility		$10,338.04	$10,338.04	$10,338.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $6,652.12	Facility		$6,652.12	$6,652.12	$6,652.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $6,652.12	Professional		$4,856.05	$4,856.05	$6,652.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,275.86 / $48,028.27 / $48,028.27	Facility		$17,275.86	$48,028.27	$48,028.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51,669.39 / $51,669.39 / $76,237.28	Professional		$51,669.39	$51,669.39	$76,237.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,970.74 / $7,598.35 / $10,338.04	Facility		$2,970.74	$7,598.35	$10,338.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,004.27 / $9,304.24 / $10,338.04	Professional		$3,004.27	$9,304.24	$10,338.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,970.74 / $6,907.59 / $10,338.04	Facility		$2,970.74	$6,907.59	$10,338.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $6,851.68	Professional		$4,856.05	$4,856.05	$6,851.68
United Facility/Professional Professional Modifier Low / Median / High Price $3,834.71 / $5,672.80 / $6,933.27	Professional		$3,834.71	$5,672.80	$6,933.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,581.39 / $5,635.06 / $10,338.04	Professional		$5,581.39	$5,635.06	$10,338.04