Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $2,290.87	Facility		$309.03	$741.31	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $537.03	Professional		$302.00	$398.11	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,698.24 / $2,290.87	Facility		$354.81	$1,698.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $776.25	Professional		$512.86	$616.60	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $954.99	Facility		$331.13	$512.86	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $616.60	Professional		$316.23	$436.52	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $1,819.70	Facility		$323.59	$512.86	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $537.03	Professional		$269.15	$478.63	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $512.86	Facility		$181.97	$239.88	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Professional		$213.80	$213.80	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $512.86	Professional		$67.61	$67.61	$512.86