Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $91.20	Professional		$53.70	$79.43	$91.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $676.08	Professional		$512.86	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $630.96 / $4,570.88	Facility		$79.43	$630.96	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $91.20	Professional		$53.70	$79.43	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $85.11 / $141.25	Facility		$64.57	$85.11	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $134.90	Professional		$77.62	$107.15	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $120.23	Professional		$69.18	$83.18	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $75.86 / $93.33	Professional		$33.11	$75.86	$93.33