Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,542.00	Facility		$521.00	$2,244.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $79.64 / $91.84	Professional		$54.24	$79.64	$91.84
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 Professional Modifier Low / Median / High Price $101.26 / $107.65 / $126.72	Professional		$101.26	$107.65	$126.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.97 / $417.19 / $417.19	Facility		$166.97	$417.19	$417.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $515.54 / $673.58	Professional		$515.54	$515.54	$673.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $82.84 / $120.51	Facility		$67.59	$82.84	$120.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $75.01 / $75.31	Professional		$75.01	$75.01	$75.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $83.61 / $127.31	Facility		$68.20	$83.61	$127.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $109.17 / $126.72	Professional		$75.01	$109.17	$126.72
United Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $128.66 / $187.65	Facility		$84.09	$128.66	$187.65
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $82.63 / $119.08	Professional		$65.62	$82.63	$119.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $44.98 / $105.45	Professional		$33.32	$44.98	$105.45