Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,281.00	Facility		$732.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $252.89 / $273.98	Professional		$192.80	$252.89	$273.98
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 Facility Modifier Low / Median / High Price $345.94 / $345.94 / $345.94	Facility		$345.94	$345.94	$345.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.55 / $490.55 / $1,058.61	Professional		$490.55	$490.55	$1,058.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $727.02 / $12,452.47 / $14,266.70	Facility		$727.02	$12,452.47	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,032.16 / $2,200.80 / $2,635.65	Professional		$2,032.16	$2,200.80	$2,635.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.93 / $339.10 / $560.75	Facility		$215.93	$339.10	$560.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $5,478.00 / $9,074.00	Professional		$306.88	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.93 / $347.98 / $560.75	Facility		$215.93	$347.98	$560.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $490.55 / $1,058.61	Professional		$306.88	$490.55	$1,058.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $323.31 / $528.63	Professional		$236.26	$323.31	$528.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $294.32 / $397.33	Professional		$294.32	$294.32	$397.33