Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.06 / $1,839.24 / $5,967.35	Facility		$662.06	$1,839.24	$5,967.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.00 / $662.06 / $1,218.75	Professional		$524.00	$662.06	$1,218.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $991.19	Facility		$902.78	$902.78	$991.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.12 / $1,425.60 / $2,127.44	Facility		$273.12	$1,425.60	$2,127.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.94 / $945.47 / $1,551.85	Professional		$661.94	$945.47	$1,551.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,898.34 / $4,471.83 / $5,379.71	Facility		$1,898.34	$4,471.83	$5,379.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,190.18 / $5,190.18 / $8,416.58	Professional		$5,190.18	$5,190.18	$8,416.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.20 / $946.75 / $1,487.32	Facility		$681.20	$946.75	$1,487.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $902.78 / $1,576.61 / $1,832.73	Professional		$902.78	$1,576.61	$1,832.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.57 / $999.62 / $1,995.41	Facility		$459.57	$999.62	$1,995.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $696.88 / $975.88 / $1,701.70	Professional		$696.88	$975.88	$1,701.70
United Facility/Professional Facility Modifier Low / Median / High Price $807.01 / $839.02 / $1,106.79	Facility		$807.01	$839.02	$1,106.79
United Facility/Professional Professional Modifier Low / Median / High Price $763.22 / $901.50 / $1,436.66	Professional		$763.22	$901.50	$1,436.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $815.51 / $902.78 / $1,296.08	Professional		$815.51	$902.78	$1,296.08