Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,200.00 / $3,653.70	Facility		$450.00	$1,200.00	$3,653.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $540.00 / $900.00	Professional		$420.00	$540.00	$900.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.33 / $1,499.06 / $3,341.30	Facility		$483.33	$1,499.06	$3,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $913.97 / $1,142.46	Professional		$397.50	$913.97	$1,142.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,562.50 / $3,562.50	Facility		$1,200.00	$3,562.50	$3,562.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $750.00 / $825.00	Facility		$472.50	$750.00	$825.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $750.00 / $750.00	Professional		$675.00	$750.00	$750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.13 / $750.00 / $1,096.88	Facility		$493.13	$750.00	$1,096.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $712.50 / $791.25	Professional		$577.50	$712.50	$791.25
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $450.00	Professional		$315.00	$315.00	$450.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $336.26 / $750.00	Professional		$327.85	$336.26	$750.00