Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,548.13 / $11,220.18	Facility		$1,479.11	$3,548.13	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,630.27	Professional		$1,548.82	$1,905.46	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $10,964.78	Facility		$1,621.81	$2,344.23	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,801.89	Professional		$2,511.89	$3,019.95	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $4,677.35	Facility		$1,621.81	$2,511.89	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,951.21	Professional		$1,659.59	$2,137.96	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $5,754.40	Facility		$1,548.82	$2,511.89	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $2,630.27	Professional		$1,318.26	$2,344.23	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,511.89	Facility		$891.25	$1,174.90	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,511.89	Professional		$1,047.13	$1,047.13	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $2,511.89	Professional		$346.74	$346.74	$2,511.89