Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,768.00 / $7,542.00	Facility		$652.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $445.17 / $709.23	Professional		$346.77	$445.17	$709.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $365.63	Facility		$350.00	$350.00	$365.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.95 / $504.60 / $758.81	Professional		$388.95	$504.60	$758.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $16,394.00 / $16,394.00	Facility		$5,819.45	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,981.36 / $3,071.84 / $3,386.78	Professional		$2,981.36	$3,071.84	$3,386.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.44 / $483.35 / $723.95	Facility		$389.44	$483.35	$723.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $383.37 / $594.36 / $4,663.00	Professional		$383.37	$594.36	$4,663.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.75 / $492.93 / $788.52	Facility		$388.75	$492.93	$788.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.76 / $525.67 / $773.12	Professional		$386.76	$525.67	$773.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,201.00 / $4,063.00 / $8,226.00	Facility		$1,201.00	$4,063.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $418.91 / $628.37	Professional		$317.33	$418.91	$628.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $383.37 / $537.35	Professional		$338.18	$383.37	$537.35