Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,918.31	Facility		$6,309.57	$6,309.57	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $12,022.64	Professional		$5,011.87	$6,606.93	$12,022.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $14,791.08 / $14,791.08	Facility		$79.43	$14,791.08	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,709.64	Professional		$6,309.57	$6,309.57	$8,709.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58,884.37 / $58,884.37 / $58,884.37	Facility		$58,884.37	$58,884.37	$58,884.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $72,443.60 / $102,329.30 / $102,329.30	Professional		$72,443.60	$102,329.30	$102,329.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $11,220.18 / $17,378.01	Facility		$5,754.40	$11,220.18	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,606.93 / $12,882.50	Professional		$5,370.32	$6,606.93	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $11,220.18	Professional		$10,964.78	$10,964.78	$11,220.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,964.78 / $17,782.79	Facility		$5,754.40	$10,964.78	$17,782.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,709.64	Professional		$6,309.57	$6,309.57	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $12,882.50	Facility		$4,168.69	$7,762.47	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,918.31 / $8,511.38	Professional		$4,570.88	$6,918.31	$8,511.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Professional		$14,791.08	$14,791.08	$14,791.08