Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,166.99 / $5,166.99 / $5,580.34	Facility		$5,166.99	$5,166.99	$5,580.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,095.55 / $5,580.34 / $10,333.96	Professional		$5,095.55	$5,580.34	$10,333.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $11,801.69 / $11,801.69 / $11,801.69	Facility		$11,801.69	$11,801.69	$11,801.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $8,136.27	Professional		$5,939.48	$5,939.48	$8,136.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54,846.88 / $56,163.20 / $56,163.20	Facility		$54,846.88	$56,163.20	$56,163.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $69,923.17 / $69,923.17 / $83,730.08	Professional		$69,923.17	$69,923.17	$83,730.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,391.63 / $8,224.62 / $11,801.69	Facility		$3,391.63	$8,224.62	$11,801.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,429.91 / $10,621.52 / $12,132.38	Professional		$3,429.91	$10,621.52	$12,132.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,391.63 / $8,136.27 / $11,801.69	Facility		$3,391.63	$8,136.27	$11,801.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $8,380.36	Professional		$5,939.48	$5,939.48	$8,380.36
United Facility/Professional Professional Modifier Low / Median / High Price $4,378.00 / $6,476.51 / $7,915.56	Professional		$4,378.00	$6,476.51	$7,915.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,372.16 / $6,433.43 / $11,801.69	Professional		$6,372.16	$6,433.43	$11,801.69