Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,299.98 / $2,299.98 / $2,483.98	Facility		$2,299.98	$2,299.98	$2,483.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,299.98 / $2,483.98 / $4,599.97	Professional		$2,299.98	$2,483.98	$4,599.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,253.31 / $5,253.31 / $5,253.31	Facility		$5,253.31	$5,253.31	$5,253.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $3,943.38	Professional		$2,878.67	$2,878.67	$3,943.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,374.74 / $27,719.31 / $33,270.94	Facility		$12,374.74	$27,719.31	$33,270.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,789.14 / $35,624.07 / $41,956.35	Professional		$34,789.14	$35,624.07	$41,956.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $3,661.05 / $5,253.31	Facility		$1,691.96	$3,661.05	$5,253.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.05 / $4,789.00 / $6,361.99	Professional		$1,711.05	$4,789.00	$6,361.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $3,685.62 / $5,253.31	Facility		$1,691.96	$3,685.62	$5,253.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $4,061.68	Professional		$2,878.67	$2,878.67	$4,061.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,184.02 / $3,230.88 / $3,948.77	Professional		$2,184.02	$3,230.88	$3,948.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,178.82 / $3,194.59 / $5,253.31	Professional		$3,178.82	$3,194.59	$5,253.31