Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.58 / $457.56 / $631.28	Facility		$425.58	$457.56	$631.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.93 / $489.42 / $631.28	Professional		$375.93	$489.42	$631.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $752.80 / $752.80 / $752.80	Facility		$752.80	$752.80	$752.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $622.23	Facility		$370.80	$370.80	$622.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $370.80 / $370.80	Professional		$315.18	$370.80	$370.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.32 / $2,587.75 / $2,682.09	Facility		$1,141.32	$2,587.75	$2,682.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $321.44 / $662.13	Facility		$61.91	$321.44	$662.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $273.32 / $847.00	Professional		$69.26	$273.32	$847.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $321.44 / $631.28	Facility		$67.69	$321.44	$631.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $370.80	Professional		$57.24	$370.80	$370.80
United Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $340.65 / $647.48	Professional		$263.82	$340.65	$647.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $502.39 / $502.39	Professional		$499.86	$502.39	$502.39