Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.50 / $444.94 / $572.05	Professional		$395.50	$444.94	$572.05
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 Professional Modifier Low / Median / High Price $860.24 / $860.24 / $1,030.66	Professional		$860.24	$860.24	$1,030.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $3,354.69 / $3,354.69	Facility		$1,130.00	$3,354.69	$3,354.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,517.13 / $3,517.13 / $5,296.88	Professional		$3,517.13	$3,517.13	$5,296.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.38 / $706.25 / $1,059.38	Facility		$494.38	$706.25	$1,059.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.25 / $706.25 / $882.81	Professional		$706.25	$706.25	$882.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.38 / $706.25 / $1,202.77	Facility		$494.38	$706.25	$1,202.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.56 / $847.50 / $1,235.94	Professional		$741.56	$847.50	$1,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $296.63 / $452.00	Professional		$296.63	$296.63	$452.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $365.84 / $706.25	Professional		$50.39	$365.84	$706.25