Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,017.00 / $6,762.00	Facility		$471.00	$2,017.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $249.21 / $276.35	Professional		$136.99	$249.21	$276.35
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 $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $640.77 / $640.77	Professional		$640.77	$640.77	$640.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.36 / $622.16 / $711.79	Facility		$286.36	$622.16	$711.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.76 / $1,114.76 / $1,148.33	Professional		$1,114.76	$1,114.76	$1,148.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.59 / $249.21 / $528.33	Facility		$139.59	$249.21	$528.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $127.91 / $127.91	Professional		$127.91	$127.91	$127.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.59 / $249.21 / $549.29	Facility		$139.59	$249.21	$549.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $341.56 / $640.77	Professional		$127.91	$341.56	$640.77
United Facility/Professional Professional Modifier Low / Median / High Price $204.09 / $256.64 / $371.50	Professional		$204.09	$256.64	$371.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $185.49	Professional		$137.40	$137.40	$185.49