Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $625.20 / $1,903.58	Facility		$234.45	$625.20	$1,903.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $281.33 / $468.90	Professional		$218.82	$281.33	$468.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $390.75 / $390.75	Facility		$390.75	$390.75	$390.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.82 / $917.08 / $1,740.83	Facility		$251.82	$917.08	$1,740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $476.19 / $595.24	Professional		$448.93	$476.19	$595.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $625.20 / $1,856.06 / $1,856.06	Facility		$625.20	$1,856.06	$1,856.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $390.75 / $429.83	Facility		$234.45	$390.75	$429.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $390.75 / $390.75	Professional		$351.68	$390.75	$390.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $390.75 / $488.44	Facility		$234.45	$390.75	$488.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.88 / $371.21 / $412.24	Professional		$300.88	$371.21	$412.24
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $234.45	Professional		$164.12	$164.12	$234.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.39 / $390.75	Professional		$6.23	$6.39	$390.75