Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $456.77 / $598.32	Professional		$411.21	$456.77	$598.32
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 $506.90 / $506.90 / $506.90	Facility		$506.90	$506.90	$506.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $315.00 / $2,112.61	Professional		$252.00	$315.00	$2,112.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.89 / $1,067.84 / $2,236.21	Facility		$812.89	$1,067.84	$2,236.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.12 / $3,294.40 / $3,628.13	Professional		$2,853.12	$3,294.40	$3,628.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.10 / $597.78 / $930.89	Facility		$439.10	$597.78	$930.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $343.24 / $488.69	Professional		$343.24	$343.24	$488.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.47 / $597.78 / $930.89	Facility		$428.47	$597.78	$930.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $612.00 / $2,112.61	Professional		$343.24	$612.00	$2,112.61
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.85 / $610.61 / $979.22	Professional		$443.85	$610.61	$979.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.48 / $578.54 / $809.78	Professional		$510.48	$578.54	$809.78