Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.30 / $2,058.30 / $2,222.96	Facility		$2,058.30	$2,058.30	$2,222.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.30 / $2,222.96 / $4,116.59	Professional		$2,058.30	$2,222.96	$4,116.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,701.26 / $4,701.26 / $4,701.26	Facility		$4,701.26	$4,701.26	$4,701.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $3,798.08	Professional		$2,772.60	$2,772.60	$3,798.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,802.46 / $29,550.18 / $29,550.18	Facility		$24,802.46	$29,550.18	$29,550.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,028.33 / $31,028.33 / $47,012.63	Professional		$31,028.33	$31,028.33	$47,012.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $3,353.03 / $4,701.26	Facility		$1,514.15	$3,353.03	$4,701.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.24 / $4,285.85 / $6,268.35	Professional		$1,531.24	$4,285.85	$6,268.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $3,364.78 / $4,701.26	Facility		$1,514.15	$3,364.78	$4,701.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $4,048.94	Professional		$2,772.60	$2,772.60	$4,048.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,954.51 / $2,891.36 / $3,589.10	Professional		$1,954.51	$2,891.36	$3,589.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,844.77 / $2,872.13 / $4,701.26	Professional		$2,844.77	$2,872.13	$4,701.26