Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,630.00 / $7,495.00	Facility		$652.00	$2,630.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $1,374.06 / $3,114.46	Professional		$215.18	$1,374.06	$3,114.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $198.29 / $198.29 / $198.29	Facility		$198.29	$198.29	$198.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.76 / $1,723.89 / $3,317.07	Professional		$252.76	$1,723.89	$3,317.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,105.04	Facility		$55.00	$55.00	$1,105.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,518.90 / $16,230.88 / $19,177.50	Professional		$8,518.90	$16,230.88	$19,177.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.09 / $895.82 / $3,507.26	Facility		$227.09	$895.82	$3,507.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.43 / $2,417.03 / $3,845.28	Professional		$283.43	$2,417.03	$3,845.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.09 / $1,591.92 / $3,645.83	Facility		$227.09	$1,591.92	$3,645.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $1,724.88 / $3,600.93	Professional		$254.86	$1,724.88	$3,600.93
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,406.25 / $2,117.00 / $3,555.51	Professional		$1,406.25	$2,117.00	$3,555.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,875.33 / $2,083.33 / $2,984.97	Professional		$1,875.33	$2,083.33	$2,984.97