Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.25 / $1,975.25 / $2,133.27	Facility		$1,975.25	$1,975.25	$2,133.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.49 / $2,100.00 / $3,950.50	Professional		$1,747.49	$2,100.00	$3,950.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,511.59 / $4,511.59 / $4,511.59	Facility		$4,511.59	$4,511.59	$4,511.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $2,375.33	Facility		$2,375.33	$2,375.33	$2,375.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $2,375.33	Professional		$1,733.99	$1,733.99	$2,375.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,406.46 / $16,837.56 / $16,837.56	Facility		$6,406.46	$16,837.56	$16,837.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,332.37 / $22,332.37 / $27,465.45	Professional		$22,332.37	$22,332.37	$27,465.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $3,144.15 / $4,511.59	Facility		$1,089.80	$3,144.15	$4,511.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.09 / $3,815.23 / $4,511.59	Professional		$1,102.09	$3,815.23	$4,511.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $3,014.52 / $4,511.59	Facility		$1,089.80	$3,014.52	$4,511.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $2,446.59	Professional		$1,733.99	$1,733.99	$2,446.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,834.85 / $3,834.85 / $4,511.59	Facility		$3,834.85	$3,834.85	$4,511.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,406.74 / $2,081.03 / $2,577.14	Professional		$1,406.74	$2,081.03	$2,577.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,047.51 / $2,067.19 / $4,511.59	Professional		$2,047.51	$2,067.19	$4,511.59