Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $642.27 / $883.59	Professional		$526.17	$642.27	$883.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,133.90 / $1,133.90 / $1,133.90	Facility		$1,133.90	$1,133.90	$1,133.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $428.20 / $428.20	Professional		$84.14	$428.20	$428.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,846.82 / $5,087.00 / $5,272.45	Facility		$1,846.82	$5,087.00	$5,272.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $310.41 / $841.35	Facility		$63.84	$310.41	$841.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $104.32 / $821.72	Professional		$88.74	$104.32	$821.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $310.41 / $754.53	Facility		$96.38	$310.41	$754.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $428.20 / $428.20	Professional		$77.83	$428.20	$428.20
United Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $450.45 / $625.39	Professional		$356.64	$450.45	$625.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $615.49 / $681.00	Professional		$615.49	$615.49	$681.00