Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $922.66 / $3,121.35	Facility		$384.44	$922.66	$3,121.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.81 / $474.14 / $768.88	Professional		$358.81	$474.14	$768.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $640.73 / $640.73	Facility		$640.73	$640.73	$640.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.91 / $1,470.62 / $2,855.13	Facility		$412.91	$1,470.62	$2,855.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $440.12 / $1,221.14	Professional		$261.36	$440.12	$1,221.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.17 / $3,043.47 / $3,043.47	Facility		$1,025.17	$3,043.47	$3,043.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $640.73 / $704.80	Facility		$384.44	$640.73	$704.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.66 / $640.73 / $640.73	Professional		$576.66	$640.73	$640.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $640.73 / $807.32	Facility		$384.44	$640.73	$807.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $608.69 / $929.00	Professional		$328.00	$608.69	$929.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $269.11 / $384.44	Professional		$269.11	$269.11	$384.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $208.00 / $640.73	Professional		$81.12	$208.00	$640.73