Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.32 / $1,283.04 / $3,535.20	Facility		$544.32	$1,283.04	$3,535.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $612.00 / $698.40	Professional		$504.00	$612.00	$698.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,432.08 / $3,208.43	Facility		$464.00	$1,432.08	$3,208.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $877.63 / $1,097.04	Professional		$381.60	$877.63	$1,097.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,420.00 / $3,420.00	Facility		$1,152.00	$3,420.00	$3,420.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $720.00 / $792.00	Facility		$453.60	$720.00	$792.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $720.00 / $720.00	Professional		$648.00	$720.00	$720.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $720.00 / $1,053.00	Facility		$453.60	$720.00	$1,053.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $684.00 / $756.00	Professional		$381.60	$684.00	$756.00
United Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $720.00 / $864.00	Facility		$302.39	$720.00	$864.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $432.00	Professional		$302.39	$302.39	$432.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $280.80 / $720.00	Professional		$228.90	$280.80	$720.00