Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.60 / $477.60 / $477.60	Professional		$477.60	$477.60	$477.60
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 $454.49 / $1,566.05 / $3,039.31	Facility		$454.49	$1,566.05	$3,039.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.61 / $830.91 / $995.52	Professional		$361.61	$830.91	$995.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.66 / $3,240.88 / $3,240.88	Facility		$1,091.66	$3,240.88	$3,240.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,411.45 / $3,411.45 / $5,117.18	Professional		$3,411.45	$3,411.45	$5,117.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $682.29 / $960.13	Facility		$409.37	$682.29	$960.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $648.17 / $682.29 / $852.86	Professional		$648.17	$682.29	$852.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.45 / $716.40 / $2,457.79	Facility		$463.45	$716.40	$2,457.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.05 / $818.75 / $982.50	Professional		$614.05	$818.75	$982.50
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $286.56 / $420.29	Professional		$286.56	$286.56	$420.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $266.08 / $682.29	Professional		$77.30	$266.08	$682.29