Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $223.87	Professional		$125.89	$151.36	$223.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $331.13	Professional		$134.90	$181.97	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,995.26	Facility		$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $5,128.61	Facility		$141.25	$331.13	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $213.80	Professional		$125.89	$165.96	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $102.33	Professional		$16.60	$32.36	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $426.58	Facility		$128.82	$194.98	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $316.23	Professional		$131.83	$177.83	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $234.42	Professional		$109.65	$151.36	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $128.82	Professional		$114.82	$114.82	$128.82