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 $61.49 / $98.50 / $112.37	Professional		$61.49	$98.50	$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 $118.68 / $118.68 / $118.68	Facility		$118.68	$118.68	$118.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $177.67 / $495.79	Professional		$177.67	$177.67	$495.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $235.89 / $481.38 / $524.50	Facility		$235.89	$481.38	$524.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $751.76 / $771.44 / $902.03	Professional		$751.76	$771.44	$902.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.06 / $98.65 / $166.16	Facility		$60.06	$98.65	$166.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.74 / $56.74 / $99.67	Professional		$56.74	$56.74	$99.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $100.14 / $187.86	Facility		$60.85	$100.14	$187.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $99.67 / $177.67	Professional		$60.00	$99.67	$177.67
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 $78.18 / $104.24 / $163.66	Professional		$78.18	$104.24	$163.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $96.72 / $127.93	Professional		$91.28	$96.72	$127.93