Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.67 / $883.00 / $1,771.00	Facility		$266.67	$883.00	$1,771.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $206.50 / $275.00	Professional		$171.00	$206.50	$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 $170.54 / $500.00 / $1,246.95	Facility		$170.54	$500.00	$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 $426.40 / $1,093.20 / $1,093.20	Facility		$426.40	$1,093.20	$1,093.20
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 $184.68 / $308.63 / $673.71	Facility		$184.68	$308.63	$673.71
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 $193.30 / $323.20 / $768.92	Facility		$193.30	$323.20	$768.92
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 $312.23 / $376.18 / $639.51	Professional		$312.23	$376.18	$639.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $195.18 / $262.29	Professional		$184.68	$195.18	$262.29