Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,041.74 / $6,025.60	Facility		$741.31	$2,041.74	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $398.11 / $812.83	Professional		$6.03	$398.11	$812.83
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 Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $77.62	Professional		$33.11	$35.48	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $436.52 / $1,905.46	Facility		$10.47	$436.52	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $457.09 / $794.33	Professional		$6.03	$457.09	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $186.21 / $1,047.13	Facility		$10.47	$186.21	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $77.62	Professional		$33.11	$36.31	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,659.59	Professional		$758.58	$1,096.48	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $42.66 / $51.29	Professional		$40.74	$42.66	$51.29