Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,314.00 / $3,653.70	Facility		$450.00	$1,314.00	$3,653.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $495.00 / $637.50	Professional		$420.00	$495.00	$637.50
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 $487.50 / $1,760.22 / $3,341.30	Facility		$487.50	$1,760.22	$3,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $913.65 / $1,094.65	Professional		$913.65	$913.65	$1,094.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,562.50 / $3,562.50	Facility		$1,200.00	$3,562.50	$3,562.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $5,625.00	Professional		$3,735.00	$3,735.00	$5,625.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $750.00 / $1,097.55	Facility		$450.00	$750.00	$1,097.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $937.50	Professional		$750.00	$750.00	$937.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.23 / $772.20 / $2,700.82	Facility		$502.23	$772.20	$2,700.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.86 / $937.50 / $1,312.50	Professional		$708.86	$937.50	$1,312.50
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $450.00	Professional		$315.00	$315.00	$450.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $750.00	Professional		$336.26	$336.26	$750.00