Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,456.54	Facility		$6,025.60	$6,025.60	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $11,220.18	Professional		$4,786.30	$6,309.57	$11,220.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $14,125.38 / $14,125.38	Facility		$79.43	$14,125.38	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,317.64	Professional		$6,025.60	$6,025.60	$8,317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $56,234.13	Facility		$56,234.13	$56,234.13	$56,234.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $69,183.10 / $97,723.72 / $97,723.72	Professional		$69,183.10	$97,723.72	$97,723.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,715.19 / $16,595.87	Facility		$5,495.41	$10,715.19	$16,595.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,309.57 / $12,022.64	Professional		$5,128.61	$6,309.57	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,471.29	Professional		$10,232.93	$10,232.93	$10,471.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,232.93 / $16,982.44	Facility		$5,495.41	$10,232.93	$16,982.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,317.64	Professional		$6,025.60	$6,025.60	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $12,302.69	Facility		$3,981.07	$7,413.10	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,128.31	Professional		$4,365.16	$6,606.93	$8,128.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38