Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $3,162.28 / $8,912.51	Professional		$524.81	$3,162.28	$8,912.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,348.96	Facility		$302.00	$302.00	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Professional		$1,318.26	$1,318.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $3,090.30 / $9,120.11	Professional		$512.86	$3,090.30	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $426.58	Professional		$30.20	$30.20	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $79.43	Professional		$60.26	$75.86	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61