Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,797.40 / $6,797.40 / $7,341.19	Facility		$6,797.40	$6,797.40	$7,341.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,797.40 / $7,341.19 / $13,594.80	Professional		$6,797.40	$7,341.19	$13,594.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $15,525.65 / $15,525.65 / $15,525.65	Facility		$15,525.65	$15,525.65	$15,525.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $9,907.40	Facility		$9,907.40	$9,907.40	$9,907.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $9,907.40	Professional		$7,232.40	$7,232.40	$9,907.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75,302.32 / $77,109.56 / $77,109.56	Facility		$75,302.32	$77,109.56	$77,109.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $96,001.40 / $96,001.40 / $108,435.30	Professional		$96,001.40	$96,001.40	$108,435.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,656.56 / $10,819.89 / $15,525.65	Facility		$4,656.56	$10,819.89	$15,525.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,709.12 / $14,283.60 / $15,612.57	Professional		$4,709.12	$14,283.60	$15,612.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,656.56 / $10,373.82 / $15,525.65	Facility		$4,656.56	$10,373.82	$15,525.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $10,204.62	Professional		$7,232.40	$7,232.40	$10,204.62
United Facility/Professional Professional Modifier Low / Median / High Price $6,010.80 / $8,891.95 / $10,867.72	Professional		$6,010.80	$8,891.95	$10,867.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8,748.73 / $8,832.85 / $15,525.65	Professional		$8,748.73	$8,832.85	$15,525.65