Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,040.00	Facility		$732.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $50.55 / $59.25	Professional		$36.22	$50.55	$59.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $37.74 / $43.04	Facility		$33.01	$37.74	$43.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $146.22 / $279.02	Facility		$130.13	$146.22	$279.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.72 / $407.36 / $450.30	Professional		$398.72	$407.36	$450.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $55.44 / $104.78	Facility		$43.78	$55.44	$104.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $52.60	Professional		$51.50	$51.50	$52.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $55.60 / $105.83	Facility		$41.26	$55.60	$105.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $93.54 / $118.60	Professional		$52.60	$93.54	$118.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $55.31 / $91.31	Professional		$40.60	$55.31	$91.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $53.70 / $72.95	Professional		$51.50	$53.70	$72.95