Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,290.87	Facility		$2,137.96	$2,137.96	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $4,168.69	Professional		$2,089.30	$2,398.83	$4,168.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $5,011.87 / $5,011.87	Facility		$79.43	$5,011.87	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Facility		$24,547.09	$24,547.09	$24,547.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $41,686.94 / $41,686.94	Professional		$26,302.68	$41,686.94	$41,686.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $6,165.95	Facility		$2,089.30	$4,073.80	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $5,011.87	Professional		$2,137.96	$2,630.27	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Professional		$3,235.94	$3,235.94	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $6,606.93	Facility		$2,137.96	$3,801.89	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $3,548.13	Facility		$741.31	$2,818.38	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $3,388.44	Professional		$1,862.09	$2,754.23	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87