Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.84 / $466.82 / $475.80	Facility		$457.84	$466.82	$475.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.59 / $475.80 / $763.95	Professional		$431.59	$475.80	$763.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,025.23 / $1,025.23 / $1,025.23	Facility		$1,025.23	$1,025.23	$1,025.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $414.55	Professional		$414.55	$414.55	$414.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,969.92 / $4,877.45 / $4,877.45	Facility		$1,969.92	$4,877.45	$4,877.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,852.00 / $5,852.00 / $9,088.04	Professional		$5,852.00	$5,852.00	$9,088.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $709.35 / $1,025.23	Facility		$292.70	$709.35	$1,025.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $908.80 / $1,025.23	Professional		$292.70	$908.80	$1,025.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $685.03 / $1,025.23	Facility		$292.70	$685.03	$1,025.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $795.78	Professional		$414.55	$414.55	$795.78
United Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $546.37 / $650.44	Professional		$377.83	$546.37	$650.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.46 / $553.50 / $1,025.23	Professional		$544.46	$553.50	$1,025.23