Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.88 / $1,121.28 / $3,121.35	Facility		$422.88	$1,121.28	$3,121.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.81 / $448.51 / $768.88	Professional		$358.81	$448.51	$768.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $640.73 / $640.73	Facility		$640.73	$640.73	$640.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.91 / $1,503.75 / $2,855.13	Facility		$412.91	$1,503.75	$2,855.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.59 / $709.13 / $886.41	Professional		$339.59	$709.13	$886.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.17 / $3,043.47 / $3,043.47	Facility		$1,025.17	$3,043.47	$3,043.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.51 / $640.73 / $775.28	Facility		$448.51	$640.73	$775.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.66 / $640.73 / $640.73	Professional		$576.66	$640.73	$640.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.89 / $640.73 / $820.13	Facility		$436.89	$640.73	$820.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $608.69 / $675.97	Professional		$493.36	$608.69	$675.97
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $269.11 / $384.44	Professional		$269.11	$269.11	$384.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $331.90 / $1,232.17	Professional		$208.00	$331.90	$1,232.17