Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.67 / $913.00 / $2,029.00	Facility		$266.67	$913.00	$2,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $209.11 / $275.00	Professional		$171.00	$209.11	$275.00
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 $151.22 / $368.62 / $1,246.95	Facility		$151.22	$368.62	$1,246.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $235.00 / $359.00	Professional		$210.00	$235.00	$359.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $404.32 / $2,613.82 / $2,613.82	Facility		$404.32	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,293.17 / $1,679.48	Professional		$1,293.17	$1,293.17	$1,679.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $209.19 / $392.46	Facility		$171.15	$209.19	$392.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $184.68 / $185.52	Professional		$184.68	$184.68	$185.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.51 / $224.68 / $480.06	Facility		$172.51	$224.68	$480.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $235.00 / $359.00	Professional		$210.00	$235.00	$359.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $111.10 / $198.42	Professional		$92.67	$111.10	$198.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $195.18 / $262.29	Professional		$184.68	$195.18	$262.29