Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.32 / $508.09 / $517.86	Facility		$498.32	$508.09	$517.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.55 / $517.86 / $912.12	Professional		$488.55	$517.86	$912.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,115.85 / $1,115.85 / $1,115.85	Facility		$1,115.85	$1,115.85	$1,115.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $740.83	Professional		$540.80	$540.80	$740.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,864.98 / $5,601.21 / $6,597.23	Facility		$2,864.98	$5,601.21	$6,597.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,057.24 / $9,274.64 / $10,416.68	Professional		$9,057.24	$9,274.64	$10,416.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $772.07 / $1,115.85	Facility		$335.49	$772.07	$1,115.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.49 / $1,004.27 / $1,375.38	Professional		$335.49	$1,004.27	$1,375.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.49 / $745.59 / $1,115.85	Facility		$335.49	$745.59	$1,115.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $763.05	Professional		$540.80	$540.80	$763.05
United Facility/Professional Professional Modifier Low / Median / High Price $433.07 / $626.26 / $745.54	Professional		$433.07	$626.26	$745.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $624.05 / $628.75 / $1,115.85	Professional		$624.05	$628.75	$1,115.85