Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $112.20	Professional		$61.66	$95.50	$112.20
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 $114.82 / $144.54 / $489.78	Professional		$114.82	$144.54	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $891.25	Professional		$741.31	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $3,890.45	Facility		$64.57	$114.82	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $112.20	Professional		$70.79	$95.50	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $190.55	Facility		$74.13	$112.20	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $489.78	Professional		$102.33	$177.83	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $158.49	Professional		$77.62	$102.33	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $97.72	Professional		$91.20	$97.72	$97.72