Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,281.00	Facility		$732.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $95.57 / $112.37	Professional		$60.92	$95.57	$112.37
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 $117.94 / $117.94 / $117.94	Facility		$117.94	$117.94	$117.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $144.38 / $489.57	Professional		$115.50	$144.38	$489.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.25 / $475.35 / $518.41	Facility		$233.25	$475.35	$518.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.20 / $766.32 / $889.80	Professional		$743.20	$766.32	$889.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $98.45 / $165.67	Facility		$59.87	$98.45	$165.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $98.43	Professional		$56.43	$56.43	$98.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $99.43 / $186.58	Facility		$60.46	$99.43	$186.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $98.43 / $174.99	Professional		$58.94	$98.43	$174.99
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 $77.33 / $103.11 / $167.78	Professional		$77.33	$103.11	$167.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $97.18 / $128.30	Professional		$91.58	$97.18	$128.30