Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.92 / $1,166.92 / $1,260.27	Facility		$1,166.92	$1,166.92	$1,260.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.92 / $1,260.27 / $2,333.83	Professional		$1,166.92	$1,260.27	$2,333.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,665.30 / $2,665.30 / $2,665.30	Facility		$2,665.30	$2,665.30	$2,665.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $1,523.27	Facility		$1,523.27	$1,523.27	$1,523.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $1,523.27	Professional		$1,111.99	$1,111.99	$1,523.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,000.88 / $12,771.35 / $15,439.31	Facility		$6,000.88	$12,771.35	$15,439.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,761.88 / $16,140.15 / $24,377.85	Professional		$15,761.88	$16,140.15	$24,377.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $785.15 / $1,857.47 / $2,665.30	Facility		$785.15	$1,857.47	$2,665.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.01 / $2,398.77 / $2,665.30	Professional		$794.01	$2,398.77	$2,665.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $785.15 / $1,780.89 / $2,665.30	Facility		$785.15	$1,780.89	$2,665.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $1,568.97	Professional		$1,111.99	$1,111.99	$1,568.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.49 / $1,499.28 / $1,832.42	Professional		$1,013.49	$1,499.28	$1,832.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,475.13 / $1,489.31 / $2,665.30	Professional		$1,475.13	$1,489.31	$2,665.30