Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.56 / $1,677.56 / $1,811.76	Facility		$1,677.56	$1,677.56	$1,811.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.56 / $1,811.76 / $3,355.12	Professional		$1,677.56	$1,811.76	$3,355.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,831.64 / $3,831.64 / $3,831.64	Facility		$3,831.64	$3,831.64	$3,831.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $2,381.07	Professional		$1,738.18	$1,738.18	$2,381.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,403.10 / $17,752.32 / $17,752.32	Facility		$6,403.10	$17,752.32	$17,752.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,227.03 / $19,227.03 / $27,899.78	Professional		$19,227.03	$19,227.03	$27,899.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.64 / $2,494.36 / $3,831.64	Facility		$321.64	$2,494.36	$3,831.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.36 / $3,525.11 / $3,831.64	Professional		$2,494.36	$3,525.11	$3,831.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.64 / $2,494.36 / $3,831.64	Facility		$321.64	$2,494.36	$3,831.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $3,093.08	Professional		$1,738.18	$1,738.18	$3,093.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,415.86 / $2,094.52 / $2,618.15	Professional		$1,415.86	$2,094.52	$2,618.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,052.73 / $3,053.24 / $3,831.64	Professional		$2,052.73	$3,053.24	$3,831.64