Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,096.48 / $3,467.37	Facility		$489.78	$1,096.48	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $831.76	Professional		$457.09	$602.56	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,380.38 / $3,388.44	Facility		$489.78	$1,380.38	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $870.96 / $1,148.15	Professional		$407.38	$870.96	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $1,412.54	Facility		$537.03	$758.58	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $870.96	Professional		$467.74	$645.65	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,778.28	Facility		$501.19	$758.58	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $794.33	Professional		$407.38	$758.58	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $758.58	Facility		$275.42	$363.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $758.58	Professional		$295.12	$295.12	$758.58