Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,462.00 / $3,462.00 / $3,738.95	Facility		$3,462.00	$3,462.00	$3,738.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,462.00 / $3,738.95 / $6,923.99	Professional		$3,462.00	$3,738.95	$6,923.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,907.40 / $7,907.40 / $7,907.40	Facility		$7,907.40	$7,907.40	$7,907.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $4,391.66	Professional		$3,732.91	$3,732.91	$4,391.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,788.62 / $36,465.75 / $36,465.75	Facility		$33,788.62	$36,465.75	$36,465.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39,678.90 / $39,678.90 / $57,577.50	Professional		$39,678.90	$39,678.90	$57,577.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,263.62 / $5,936.51 / $7,907.40	Facility		$2,263.62	$5,936.51	$7,907.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.62 / $7,274.81 / $7,907.40	Professional		$2,263.62	$7,274.81	$7,907.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,263.62 / $5,283.50 / $7,907.40	Facility		$2,263.62	$5,283.50	$7,907.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $4,523.41	Professional		$3,732.91	$3,732.91	$4,523.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,921.93 / $4,400.64 / $5,365.61	Professional		$2,921.93	$4,400.64	$5,365.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,252.85 / $4,300.34 / $7,907.40	Professional		$4,252.85	$4,300.34	$7,907.40