Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.74 / $1,443.96 / $1,443.96	Facility		$1,408.74	$1,443.96	$1,443.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,443.96 / $1,496.79	Professional		$1,408.74	$1,443.96	$1,496.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $869.23 / $869.23 / $869.23	Facility		$869.23	$869.23	$869.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $482.77	Facility		$482.77	$482.77	$482.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $410.35	Professional		$410.35	$410.35	$410.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.61 / $4,027.33 / $4,027.33	Facility		$1,452.61	$4,027.33	$4,027.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,361.83 / $4,361.83 / $6,329.40	Professional		$4,361.83	$4,361.83	$6,329.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $843.92 / $1,408.74 / $1,496.79	Facility		$843.92	$1,408.74	$1,496.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $531.97 / $843.92 / $1,496.79	Professional		$531.97	$843.92	$1,496.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.23 / $1,408.74 / $1,496.79	Facility		$606.23	$1,408.74	$1,496.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $738.97	Professional		$410.35	$410.35	$738.97
United Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $478.96 / $598.70	Professional		$321.20	$478.96	$598.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.68 / $869.23 / $1,467.44	Professional		$465.68	$869.23	$1,467.44