Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,071.52 / $3,388.44	Facility		$446.68	$1,071.52	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $831.76	Professional		$446.68	$588.84	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $3,311.31	Facility		$489.78	$724.44	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,148.15	Professional		$758.58	$912.01	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,479.11	Facility		$489.78	$758.58	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $891.25	Professional		$467.74	$616.60	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,737.80	Facility		$467.74	$758.58	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $794.33	Professional		$398.11	$707.95	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $758.58	Facility		$269.15	$354.81	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Professional		$331.13	$331.13	$758.58