Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $900.00 / $1,799.00	Facility		$150.97	$900.00	$1,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $171.00 / $275.00	Professional		$99.14	$171.00	$275.00
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 $92.36 / $254.04 / $1,000.00	Facility		$92.36	$254.04	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $413.75 / $1,064.88	Professional		$413.75	$413.75	$1,064.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.94 / $1,182.70 / $1,182.70	Facility		$475.94	$1,182.70	$1,182.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.84 / $1,219.09 / $1,908.30	Professional		$1,189.84	$1,219.09	$1,908.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $216.19 / $332.62	Facility		$98.02	$216.19	$332.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.57 / $212.57 / $212.57	Professional		$212.57	$212.57	$212.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $224.82 / $338.80	Facility		$98.02	$224.82	$338.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $413.75 / $1,064.88	Professional		$154.47	$413.75	$1,064.88
United Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $219.79 / $373.64	Professional		$176.20	$219.79	$373.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $108.27 / $146.16	Professional		$108.27	$108.27	$146.16