Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $7,585.78	Facility		$870.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $13,489.63	Professional		$524.81	$977.24	$13,489.63
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 Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,818.38	Professional		$891.25	$891.25	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,122.02 / $4,466.84	Facility		$588.84	$1,122.02	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $7,585.78	Professional		$524.81	$1,000.00	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,023.29 / $2,238.72	Facility		$588.84	$1,023.29	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,818.38	Professional		$588.84	$891.25	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,071.52 / $2,691.53	Facility		$158.49	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $575.44 / $1,479.11	Professional		$117.49	$575.44	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44