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 $59.28 / $68.30 / $85.04	Professional		$59.28	$68.30	$85.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $52.62	Facility		$52.62	$52.62	$52.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.50 / $453.50 / $453.50	Facility		$453.50	$453.50	$453.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.39 / $1,791.95 / $1,851.60	Facility		$317.39	$1,791.95	$1,851.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,023.30 / $2,023.30 / $2,023.30	Professional		$2,023.30	$2,023.30	$2,023.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $124.63 / $193.86	Facility		$65.65	$124.63	$193.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $80.87 / $124.63	Professional		$80.87	$80.87	$124.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $105.13 / $193.86	Facility		$57.60	$105.13	$193.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $43.82 / $74.97	Professional		$22.64	$43.82	$74.97
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 $36.60 / $50.33 / $77.78	Professional		$36.60	$50.33	$77.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $129.99 / $171.02	Professional		$124.63	$129.99	$171.02