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 $198.39 / $219.69 / $268.26	Professional		$198.39	$219.69	$268.26
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 $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.35 / $1,526.35 / $1,526.35	Professional		$1,526.35	$1,526.35	$1,526.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $727.82 / $11,028.25 / $11,028.25	Facility		$727.82	$11,028.25	$11,028.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.96 / $2,319.12 / $2,777.40	Professional		$1,866.96	$2,319.12	$2,777.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.90 / $305.14 / $465.05	Facility		$213.90	$305.14	$465.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $218.68 / $307.20	Professional		$218.68	$218.68	$307.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.90 / $312.27 / $471.72	Facility		$213.90	$312.27	$471.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $307.20 / $1,526.35	Professional		$298.07	$307.20	$1,526.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $250.04 / $403.70	Professional		$189.98	$250.04	$403.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $327.02 / $442.11	Professional		$315.58	$327.02	$442.11