Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,466.84	Facility		$4,168.69	$4,168.69	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $7,762.47	Professional		$3,630.78	$4,265.80	$7,762.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $9,772.37 / $9,772.37	Facility		$79.43	$9,772.37	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,897.79	Professional		$3,630.78	$3,630.78	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility		$37,153.52	$37,153.52	$37,153.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $64,565.42 / $64,565.42	Professional		$46,773.51	$64,565.42	$64,565.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,606.93 / $12,022.64	Facility		$2,290.87	$6,606.93	$12,022.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $8,317.64	Professional		$3,715.35	$4,365.16	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,244.36	Professional		$7,079.46	$7,079.46	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,079.46 / $11,748.98	Facility		$3,801.89	$7,079.46	$11,748.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,897.79	Professional		$3,630.78	$3,630.78	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $8,317.64	Facility		$2,691.53	$5,011.87	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $5,495.41	Professional		$2,951.21	$4,466.84	$5,495.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37