Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,134.29 / $4,134.29 / $4,465.03	Facility		$4,134.29	$4,134.29	$4,465.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,908.58 / $4,465.03 / $8,268.58	Professional		$3,908.58	$4,465.03	$8,268.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,442.95 / $9,442.95 / $9,442.95	Facility		$9,442.95	$9,442.95	$9,442.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $6,300.68	Facility		$6,300.68	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $6,300.68	Professional		$4,599.50	$4,599.50	$6,300.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,363.20 / $42,111.30 / $42,111.30	Facility		$16,363.20	$42,111.30	$42,111.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $50,947.89 / $50,947.89 / $60,448.20	Professional		$50,947.89	$50,947.89	$60,448.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,595.84 / $6,580.85 / $9,442.95	Facility		$2,595.84	$6,580.85	$9,442.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,625.14 / $8,498.66 / $10,133.21	Professional		$2,625.14	$8,498.66	$10,133.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,595.84 / $6,309.54 / $9,442.95	Facility		$2,595.84	$6,309.54	$9,442.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $6,489.70	Professional		$4,599.50	$4,599.50	$6,489.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,350.77 / $4,956.89 / $6,153.10	Professional		$3,350.77	$4,956.89	$6,153.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,877.03 / $4,923.92 / $9,442.95	Professional		$4,877.03	$4,923.92	$9,442.95