Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $645.65	Professional		$346.74	$457.09	$645.65
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 Professional Modifier Low / Median / High Price $251.19 / $316.23 / $2,089.30	Professional		$251.19	$316.23	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $3,630.78	Professional		$2,884.03	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,412.54 / $6,918.31	Facility		$446.68	$1,412.54	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $660.69	Professional		$346.74	$457.09	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $549.54 / $933.25	Facility		$371.54	$549.54	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $2,089.30	Professional		$354.81	$354.81	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $954.99	Professional		$467.74	$616.60	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $616.60	Professional		$575.44	$616.60	$616.60