Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,317.00 / $7,542.00	Facility		$714.00	$2,317.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.27 / $1,023.86 / $13,531.45	Professional		$655.27	$1,023.86	$13,531.45
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 $989.08 / $989.08 / $989.08	Facility		$989.08	$989.08	$989.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.16 / $862.16 / $2,832.91	Professional		$862.16	$862.16	$2,832.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.00 / $1,667.27 / $3,389.44	Facility		$1,343.00	$1,667.27	$3,389.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,239.33 / $6,239.33 / $6,428.56	Professional		$6,239.33	$6,239.33	$6,428.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.41 / $867.10 / $2,170.58	Facility		$614.41	$867.10	$2,170.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $567.05 / $567.05 / $650.04	Professional		$567.05	$567.05	$650.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.03 / $933.49 / $2,170.58	Facility		$619.03	$933.49	$2,170.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $567.05 / $862.16 / $2,832.91	Professional		$567.05	$862.16	$2,832.91
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $562.49 / $1,423.96	Professional		$115.26	$562.49	$1,423.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $650.04 / $728.27 / $892.17	Professional		$650.04	$728.27	$892.17