Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $769.08 / $2,211.34	Facility		$323.00	$769.08	$2,211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.86 / $299.08 / $367.44	Professional		$232.86	$299.08	$367.44
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 Facility Modifier Low / Median / High Price $284.61 / $938.69 / $1,903.91	Facility		$284.61	$938.69	$1,903.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.08 / $520.52 / $623.64	Professional		$205.08	$520.52	$623.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $683.62 / $2,029.49 / $2,029.49	Facility		$683.62	$2,029.49	$2,029.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.30 / $2,136.30 / $3,204.45	Professional		$2,136.30	$2,136.30	$3,204.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.36 / $427.26 / $598.63	Facility		$256.36	$427.26	$598.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $427.26 / $534.08	Professional		$405.90	$427.26	$534.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.22 / $458.24 / $1,539.23	Facility		$290.22	$458.24	$1,539.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $512.71 / $747.71	Professional		$249.95	$512.71	$747.71
United Facility/Professional Facility Modifier Low / Median / High Price $179.45 / $427.26 / $512.71	Facility		$179.45	$427.26	$512.71
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $179.45 / $273.45	Professional		$179.45	$179.45	$273.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $166.63 / $427.26	Professional		$56.97	$166.63	$427.26