Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,317.00 / $7,542.00	Facility		$521.00	$2,317.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $91.61 / $272.77	Professional		$82.59	$91.61	$272.77
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 $108.95 / $108.95 / $108.95	Facility		$108.95	$108.95	$108.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $135.00 / $453.71	Professional		$108.00	$135.00	$453.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $440.53 / $480.32	Facility		$216.01	$440.53	$480.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $688.32 / $708.56 / $825.00	Professional		$688.32	$708.56	$825.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $89.19 / $155.19	Facility		$51.98	$89.19	$155.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $48.52 / $91.21	Professional		$48.52	$48.52	$91.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $91.61 / $172.93	Facility		$53.11	$91.61	$172.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $91.21 / $161.72	Professional		$51.49	$91.21	$161.72
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 $71.23 / $96.81 / $151.52	Professional		$71.23	$96.81	$151.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $88.68 / $118.00	Professional		$83.98	$88.68	$118.00