Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.82 / $1,009.82 / $1,090.59	Facility		$1,009.82	$1,009.82	$1,090.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.35 / $1,090.59 / $2,019.63	Professional		$1,003.35	$1,090.59	$2,019.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,306.48 / $2,306.48 / $2,306.48	Facility		$2,306.48	$2,306.48	$2,306.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $1,637.27	Facility		$1,637.27	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,637.27	Professional		$1,195.21	$1,195.21	$1,637.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,137.87 / $10,648.17 / $12,990.49	Facility		$5,137.87	$10,648.17	$12,990.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,383.26 / $14,728.46 / $15,383.48	Professional		$14,383.26	$14,728.46	$15,383.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.62 / $1,618.17 / $2,306.48	Facility		$660.62	$1,618.17	$2,306.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $668.07 / $2,051.13 / $2,306.48	Professional		$668.07	$2,051.13	$2,306.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.62 / $1,637.27 / $2,306.48	Facility		$660.62	$1,637.27	$2,306.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,686.39	Professional		$1,195.21	$1,195.21	$1,686.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $852.74 / $1,261.49 / $1,541.78	Professional		$852.74	$1,261.49	$1,541.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,241.18 / $1,253.11 / $2,306.48	Professional		$1,241.18	$1,253.11	$2,306.48