Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.50 / $863.50 / $932.58	Facility		$863.50	$863.50	$932.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.50 / $932.58 / $1,727.00	Professional		$863.50	$932.58	$1,727.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,972.29 / $1,972.29 / $1,972.29	Facility		$1,972.29	$1,972.29	$1,972.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,576.65	Professional		$1,150.95	$1,150.95	$1,576.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,757.10 / $10,188.70 / $10,188.70	Facility		$9,757.10	$10,188.70	$10,188.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,243.79 / $11,243.79 / $14,106.00	Professional		$11,243.79	$11,243.79	$14,106.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $1,383.72 / $1,972.29	Facility		$604.26	$1,383.72	$1,972.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $611.08 / $1,775.06 / $2,162.07	Professional		$611.08	$1,775.06	$2,162.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $1,411.61 / $1,972.29	Facility		$604.26	$1,411.61	$1,972.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,623.95	Professional		$1,150.95	$1,150.95	$1,623.95
United Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,153.88 / $1,442.35	Professional		$780.00	$1,153.88	$1,442.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,135.28 / $1,146.20 / $1,972.29	Professional		$1,135.28	$1,146.20	$1,972.29