Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,236.00 / $7,513.00	Facility		$521.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $134.57 / $168.50	Professional		$117.33	$134.57	$168.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $110.22 / $110.22	Facility		$110.22	$110.22	$110.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $35.15	Professional		$28.13	$28.13	$35.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.28 / $3,754.25 / $4,092.84	Facility		$1,338.28	$3,754.25	$4,092.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,471.30 / $4,471.30 / $5,448.23	Professional		$4,471.30	$4,471.30	$5,448.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $168.99 / $2,682.28	Facility		$126.60	$168.99	$2,682.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $124.63 / $341.05	Professional		$124.63	$124.63	$341.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $173.93 / $2,346.98	Facility		$126.68	$173.93	$2,346.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $144.34 / $260.27	Professional		$74.95	$144.34	$260.27
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $168.98 / $258.01	Professional		$122.90	$168.98	$258.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $2,235.23 / $3,017.56	Professional		$143.29	$2,235.23	$3,017.56