Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.10 / $843.32 / $859.54	Facility		$827.10	$843.32	$859.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.51 / $859.54 / $1,394.72	Professional		$782.51	$859.54	$1,394.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,852.10 / $1,852.10 / $1,852.10	Facility		$1,852.10	$1,852.10	$1,852.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $1,191.78	Facility		$1,191.78	$1,191.78	$1,191.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $1,191.78	Professional		$870.00	$870.00	$1,191.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,095.10 / $8,579.00 / $8,579.00	Facility		$3,095.10	$8,579.00	$8,579.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,275.29 / $9,275.29 / $13,485.98	Professional		$9,275.29	$9,275.29	$13,485.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $1,390.49 / $1,852.10	Facility		$530.05	$1,390.49	$1,852.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.05 / $1,666.89 / $1,852.10	Professional		$530.05	$1,666.89	$1,852.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $1,191.78 / $1,852.10	Facility		$530.05	$1,191.78	$1,852.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $1,333.60	Professional		$870.00	$870.00	$1,333.60
United Facility/Professional Professional Modifier Low / Median / High Price $684.22 / $989.45 / $1,177.92	Professional		$684.22	$989.45	$1,177.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $985.99 / $1,002.36 / $1,852.10	Professional		$985.99	$1,002.36	$1,852.10