Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.64 / $516.58 / $526.51	Facility		$506.64	$516.58	$526.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $526.51 / $854.34	Professional		$486.78	$526.51	$854.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,134.52 / $1,134.52 / $1,134.52	Facility		$1,134.52	$1,134.52	$1,134.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $548.95	Professional		$548.95	$548.95	$548.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,145.80 / $6,145.65 / $6,145.65	Facility		$5,145.80	$6,145.65	$6,145.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,210.34 / $6,210.34 / $9,281.78	Professional		$6,210.34	$6,210.34	$9,281.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $784.97 / $1,134.52	Facility		$312.52	$784.97	$1,134.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.52 / $1,025.57 / $1,134.52	Professional		$312.52	$1,025.57	$1,134.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $758.05 / $1,134.52	Facility		$312.52	$758.05	$1,134.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $897.62	Professional		$548.95	$548.95	$897.62
United Facility/Professional Facility Modifier Low / Median / High Price $371.94 / $479.78 / $633.41	Facility		$371.94	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $403.42 / $582.79 / $694.51	Professional		$403.42	$582.79	$694.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.34 / $591.00 / $1,134.52	Professional		$581.34	$591.00	$1,134.52