Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Facility		$501.19	$501.19	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $891.25	Professional		$467.74	$549.54	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,148.15	Facility		$79.43	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $10,471.29	Professional		$9,332.54	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $912.01 / $1,479.11	Facility		$478.63	$912.01	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $1,318.26	Professional		$489.78	$562.34	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Professional		$616.60	$616.60	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $870.96 / $1,548.82	Facility		$478.63	$870.96	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,202.26	Facility		$323.59	$524.81	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $741.31	Professional		$436.52	$630.96	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15