Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.67 / $1,369.70 / $1,522.02	Professional		$819.67	$1,369.70	$1,522.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,010.62 / $3,484.94 / $8,038.40	Facility		$3,010.62	$3,484.94	$8,038.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,207.25 / $10,207.25 / $14,231.48	Professional		$10,207.25	$10,207.25	$14,231.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.94 / $1,437.92 / $1,738.20	Facility		$1,058.94	$1,437.92	$1,738.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.29 / $1,958.97 / $1,958.97	Professional		$1,651.29	$1,958.97	$1,958.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,103.33 / $1,445.27 / $1,738.20	Facility		$1,103.33	$1,445.27	$1,738.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $1,644.61	Professional		$742.34	$742.34	$1,644.61
United Facility/Professional Professional Modifier Low / Median / High Price $642.97 / $951.16 / $1,106.90	Professional		$642.97	$951.16	$1,106.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,738.20 / $1,738.20 / $2,346.57	Professional		$1,738.20	$1,738.20	$2,346.57