Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.30 / $1,159.52 / $3,227.82	Facility		$437.30	$1,159.52	$3,227.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.05 / $477.06 / $795.10	Professional		$371.05	$477.06	$795.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $662.58	Facility		$662.58	$662.58	$662.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.62 / $463.58 / $1,661.11	Facility		$418.62	$463.58	$1,661.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $761.16 / $951.45	Professional		$662.45	$761.16	$951.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.13 / $3,147.26 / $3,147.26	Facility		$1,060.13	$3,147.26	$3,147.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.17 / $662.58 / $795.10	Facility		$404.17	$662.58	$795.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $596.32 / $662.58 / $662.58	Professional		$596.32	$662.58	$662.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.17 / $662.58 / $795.10	Facility		$404.17	$662.58	$795.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $629.45 / $699.02	Professional		$510.19	$629.45	$699.02
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $278.27 / $397.55	Professional		$278.27	$278.27	$397.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.34 / $662.58	Professional		$12.04	$12.34	$662.58