Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.70 / $1,584.70 / $1,711.47	Facility		$1,584.70	$1,584.70	$1,711.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.70 / $1,711.47 / $3,169.39	Professional		$1,584.70	$1,711.47	$3,169.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,619.53 / $3,619.53 / $3,619.53	Facility		$3,619.53	$3,619.53	$3,619.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $2,782.58	Facility		$2,782.58	$2,782.58	$2,782.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $2,031.28	Professional		$2,031.28	$2,031.28	$2,031.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,790.55 / $18,435.41 / $18,435.41	Facility		$17,790.55	$18,435.41	$18,435.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,910.48 / $20,910.48 / $25,972.65	Professional		$20,910.48	$20,910.48	$25,972.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $2,522.46 / $3,619.53	Facility		$1,092.64	$2,522.46	$3,619.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.97 / $3,257.58 / $4,224.34	Professional		$1,104.97	$3,257.58	$4,224.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $2,590.57 / $3,619.53	Facility		$1,092.64	$2,590.57	$3,619.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $3,402.87	Professional		$2,031.28	$2,031.28	$3,402.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,410.40 / $2,086.44 / $2,567.91	Professional		$1,410.40	$2,086.44	$2,567.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,052.83 / $2,072.57 / $3,619.53	Professional		$2,052.83	$2,072.57	$3,619.53