Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.77 / $1,673.77 / $1,807.67	Facility		$1,673.77	$1,673.77	$1,807.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,673.77 / $1,807.67 / $3,347.54	Professional		$1,673.77	$1,807.67	$3,347.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,822.98 / $3,822.98 / $3,822.98	Facility		$3,822.98	$3,822.98	$3,822.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $3,297.39	Professional		$2,407.09	$2,407.09	$3,297.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,347.54 / $19,929.31 / $24,212.22	Facility		$10,347.54	$19,929.31	$24,212.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,066.71 / $30,788.33 / $30,788.33	Professional		$30,066.71	$30,788.33	$30,788.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,231.29 / $2,870.12 / $3,822.98	Facility		$1,231.29	$2,870.12	$3,822.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.18 / $3,485.30 / $5,097.31	Professional		$1,245.18	$3,485.30	$5,097.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,231.29 / $2,870.12 / $3,822.98	Facility		$1,231.29	$2,870.12	$3,822.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $3,396.31	Professional		$2,407.09	$2,407.09	$3,396.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,332.71 / $4,332.71 / $5,097.31	Facility		$4,332.71	$4,332.71	$5,097.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,589.37 / $2,351.19 / $2,873.64	Professional		$1,589.37	$2,351.19	$2,873.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,313.32 / $2,335.56 / $3,822.98	Professional		$2,313.32	$2,335.56	$3,822.98