Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.60 / $1,331.52 / $3,731.60	Facility		$501.60	$1,331.52	$3,731.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $501.60 / $646.00	Professional		$425.60	$501.60	$646.00
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 $506.26 / $1,744.15 / $3,386.60	Facility		$506.26	$1,744.15	$3,386.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $925.90 / $1,109.33	Professional		$402.80	$925.90	$1,109.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $760.00 / $1,069.29	Facility		$456.00	$760.00	$1,069.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $760.00 / $950.00	Professional		$722.00	$760.00	$950.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.23 / $798.15 / $2,736.97	Facility		$516.23	$798.15	$2,736.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $912.00 / $1,330.00	Professional		$608.00	$912.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $456.00	Professional		$319.20	$319.20	$456.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $760.00	Professional		$304.00	$304.00	$760.00