Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $3,311.31	Facility		$436.52	$1,047.13	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $758.58	Professional		$436.52	$562.34	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $3,235.94	Facility		$467.74	$691.83	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $870.96 / $1,096.48	Professional		$380.19	$870.96	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $1,412.54	Facility		$478.63	$724.44	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $870.96	Professional		$436.52	$588.84	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,659.59	Facility		$446.68	$724.44	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $758.58	Professional		$380.19	$676.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $724.44	Facility		$257.04	$338.84	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $724.44	Professional		$302.00	$302.00	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $724.44	Professional		$281.84	$281.84	$724.44