Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.16 / $1,970.16 / $2,127.77	Facility		$1,970.16	$1,970.16	$2,127.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,970.16 / $2,323.63 / $3,940.31	Professional		$1,970.16	$2,323.63	$3,940.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,499.93 / $4,499.93 / $4,499.93	Facility		$4,499.93	$4,499.93	$4,499.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $3,323.97	Facility		$3,323.97	$3,323.97	$3,323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $3,323.97	Professional		$2,426.50	$2,426.50	$3,323.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,660.00 / $25,033.69 / $26,421.83	Facility		$10,660.00	$25,033.69	$26,421.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,469.96 / $28,469.96 / $35,433.15	Professional		$28,469.96	$28,469.96	$35,433.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,599.38 / $4,327.35 / $5,562.49	Facility		$2,599.38	$4,327.35	$5,562.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.96 / $4,139.93 / $5,241.53	Professional		$2,753.96	$4,139.93	$5,241.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,640.01 / $3,323.97 / $5,241.53	Facility		$2,640.01	$3,323.97	$5,241.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $4,358.24	Professional		$2,426.50	$2,426.50	$4,358.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,870.81 / $2,859.85 / $3,574.81	Professional		$1,870.81	$2,859.85	$3,574.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,716.85 / $3,443.26 / $4,499.93	Professional		$2,716.85	$3,443.26	$4,499.93