Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $302.00	Professional		$186.21	$251.19	$302.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,412.54	Professional		$501.19	$501.19	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,630.27	Professional		$2,187.76	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $4,570.88	Facility		$223.87	$436.52	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $309.03	Professional		$190.55	$257.04	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $549.54	Facility		$194.98	$346.74	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,412.54	Professional		$316.23	$501.19	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $512.86	Professional		$239.88	$323.59	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12