Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.60 / $1,254.00 / $3,702.42	Facility		$501.60	$1,254.00	$3,702.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $547.20 / $912.00	Professional		$425.60	$547.20	$912.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,511.64 / $3,386.60	Facility		$494.00	$1,511.64	$3,386.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $873.50 / $1,157.95	Professional		$402.80	$873.50	$1,157.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $760.00 / $919.60	Facility		$532.00	$760.00	$919.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $760.00 / $760.00	Professional		$684.00	$760.00	$760.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.23 / $760.00 / $1,294.31	Facility		$516.23	$760.00	$1,294.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $722.00 / $798.00	Professional		$402.80	$722.00	$798.00
United Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $319.20 / $760.00	Facility		$273.60	$319.20	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $456.00	Professional		$319.20	$319.20	$456.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $304.00 / $760.00	Professional		$296.39	$304.00	$760.00