Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,071.52 / $3,388.44	Facility		$446.68	$1,071.52	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $831.76	Professional		$446.68	$575.44	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,071.52 / $3,311.31	Facility		$489.78	$1,071.52	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,096.48	Professional		$912.01	$912.01	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $5,623.41	Professional		$3,715.35	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,412.54	Facility		$524.81	$758.58	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $933.25	Professional		$446.68	$602.56	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $2,089.30	Facility		$524.81	$758.58	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,318.26	Professional		$676.08	$831.76	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $758.58	Facility		$269.15	$316.23	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $512.86	Professional		$316.23	$316.23	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $758.58	Professional		$331.13	$758.58	$758.58