Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $1,435.20 / $4,369.82	Facility		$538.20	$1,435.20	$4,369.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.32 / $645.84 / $1,076.40	Professional		$502.32	$645.84	$1,076.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $897.00 / $897.00	Facility		$897.00	$897.00	$897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.34 / $2,058.26 / $3,996.54	Facility		$590.34	$2,058.26	$3,996.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.41 / $1,093.21 / $1,366.51	Professional		$475.41	$1,093.21	$1,366.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.20 / $4,260.75 / $4,260.75	Facility		$1,435.20	$4,260.75	$4,260.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $897.00 / $986.70	Facility		$538.20	$897.00	$986.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $807.30 / $897.00 / $897.00	Professional		$807.30	$897.00	$897.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $897.00 / $1,121.25	Facility		$538.20	$897.00	$1,121.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $690.69 / $852.15 / $946.34	Professional		$690.69	$852.15	$946.34
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $538.20	Professional		$376.74	$376.74	$538.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.28 / $897.00	Professional		$10.02	$10.28	$897.00