Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $512.86	Facility		$380.19	$407.38	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $724.44	Professional		$407.38	$512.86	$724.44
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 $446.68 / $1,258.93 / $3,019.95	Facility		$446.68	$1,258.93	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $1,000.00	Professional		$363.08	$831.76	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,128.61	Professional		$3,388.44	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $870.96	Facility		$512.86	$676.08	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $812.83	Professional		$407.38	$549.54	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,905.46	Facility		$478.63	$707.95	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,202.26	Professional		$363.08	$724.44	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $676.08	Facility		$245.47	$288.40	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $467.74	Professional		$288.40	$288.40	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $676.08 / $676.08	Professional		$269.15	$676.08	$676.08