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 $66.88 / $74.12 / $82.23	Professional		$66.88	$74.12	$82.23
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 $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $353.93 / $353.93	Professional		$353.93	$353.93	$353.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.32 / $343.65 / $374.35	Facility		$168.32	$343.65	$374.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $536.55 / $552.16 / $643.95	Professional		$536.55	$552.16	$643.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $74.41 / $124.07	Facility		$30.23	$74.41	$124.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $71.16	Professional		$28.18	$28.18	$71.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $76.83 / $136.22	Facility		$30.65	$76.83	$136.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $102.83 / $353.93	Professional		$71.16	$102.83	$353.93
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 $64.13 / $85.00 / $137.59	Professional		$64.13	$85.00	$137.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $75.13 / $246.80	Professional		$70.91	$75.13	$246.80