Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,317.00 / $7,542.00	Facility		$521.00	$2,317.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $89.41 / $99.71	Professional		$78.66	$89.41	$99.71
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 $102.58 / $102.58 / $102.58	Facility		$102.58	$102.58	$102.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $141.56 / $427.20	Professional		$113.25	$141.56	$427.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.56 / $771.85 / $771.85	Facility		$203.56	$771.85	$771.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.64 / $666.32 / $776.25	Professional		$648.64	$666.32	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $93.06 / $162.72	Facility		$58.80	$93.06	$162.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $85.90	Professional		$56.00	$56.00	$85.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $96.17 / $173.89	Facility		$59.96	$96.17	$173.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $124.12 / $427.20	Professional		$85.90	$124.12	$427.20
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,108.00 / $2,836.00	Facility		$161.00	$1,108.00	$2,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $98.18 / $156.79	Professional		$71.06	$98.18	$156.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $92.99 / $130.33	Professional		$63.96	$92.99	$130.33