Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.45 / $353.25 / $360.04	Facility		$346.45	$353.25	$360.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.87 / $360.04 / $608.50	Professional		$332.87	$360.04	$608.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $775.80 / $775.80 / $775.80	Facility		$775.80	$775.80	$775.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Facility		$626.01	$626.01	$626.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $626.01	Professional		$456.99	$456.99	$626.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,964.47 / $4,031.07 / $4,788.43	Facility		$1,964.47	$4,031.07	$4,788.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,197.82 / $5,322.56 / $6,686.78	Professional		$5,197.82	$5,322.56	$6,686.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.51 / $540.66 / $775.80	Facility		$243.51	$540.66	$775.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.51 / $698.22 / $901.68	Professional		$243.51	$698.22	$901.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.51 / $540.66 / $775.80	Facility		$243.51	$540.66	$775.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $456.99 / $644.79	Professional		$456.99	$456.99	$644.79
United Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $454.56 / $541.14	Professional		$314.33	$454.56	$541.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.97 / $460.49 / $775.80	Professional		$452.97	$460.49	$775.80