Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.48 / $1,132.48 / $1,223.08	Facility		$1,132.48	$1,132.48	$1,223.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.26 / $1,204.00 / $2,264.96	Professional		$923.26	$1,204.00	$2,264.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,586.65 / $2,586.65 / $2,586.65	Facility		$2,586.65	$2,586.65	$2,586.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,254.96	Professional		$916.12	$916.12	$1,254.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,673.04 / $9,310.49 / $9,310.49	Facility		$3,673.04	$9,310.49	$9,310.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,803.92 / $12,803.92 / $14,549.93	Professional		$12,803.92	$12,803.92	$14,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.82 / $1,802.65 / $2,586.65	Facility		$624.82	$1,802.65	$2,586.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.87 / $2,187.41 / $2,586.65	Professional		$631.87	$2,187.41	$2,586.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.82 / $1,728.33 / $2,586.65	Facility		$624.82	$1,728.33	$2,586.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,292.60	Professional		$916.12	$916.12	$1,292.60
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $806.53 / $1,193.13 / $1,481.06	Professional		$806.53	$1,193.13	$1,481.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,173.91 / $1,185.19 / $2,586.65	Professional		$1,173.91	$1,185.19	$2,586.65