Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.15 / $1,554.15 / $1,678.48	Facility		$1,554.15	$1,554.15	$1,678.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.15 / $1,678.48 / $3,108.29	Professional		$1,554.15	$1,678.48	$3,108.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,549.76 / $3,549.76 / $3,549.76	Facility		$3,549.76	$3,549.76	$3,549.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,425.11	Professional		$1,770.33	$1,770.33	$2,425.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,298.10 / $16,380.05 / $16,380.05	Facility		$6,298.10	$16,380.05	$16,380.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,267.33 / $19,267.33 / $24,191.25	Professional		$19,267.33	$19,267.33	$24,191.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $2,473.85 / $3,549.76	Facility		$1,017.02	$2,473.85	$3,549.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.50 / $3,194.78 / $3,892.39	Professional		$1,028.50	$3,194.78	$3,892.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $2,425.11 / $3,549.76	Facility		$1,017.02	$2,425.11	$3,549.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,497.86	Professional		$1,770.33	$1,770.33	$2,497.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.80 / $1,942.06 / $2,410.71	Professional		$1,312.80	$1,942.06	$2,410.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,910.77 / $1,929.14 / $3,549.76	Professional		$1,910.77	$1,929.14	$3,549.76