Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.16 / $589.16 / $636.29	Facility		$589.16	$589.16	$636.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.16 / $636.29 / $1,178.33	Professional		$589.16	$636.29	$1,178.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,345.68 / $1,345.68 / $1,345.68	Facility		$1,345.68	$1,345.68	$1,345.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $870.50	Facility		$870.50	$870.50	$870.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $635.47 / $870.50	Professional		$635.47	$635.47	$870.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,195.32 / $7,424.54 / $8,522.69	Facility		$3,195.32	$7,424.54	$8,522.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,101.42 / $10,343.84 / $12,857.48	Professional		$10,101.42	$10,343.84	$12,857.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.41 / $937.81 / $1,345.68	Facility		$433.41	$937.81	$1,345.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $438.30 / $1,238.03 / $1,516.70	Professional		$438.30	$1,238.03	$1,516.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.41 / $899.15 / $1,345.68	Facility		$433.41	$899.15	$1,345.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $635.47 / $896.62	Professional		$635.47	$635.47	$896.62
United Facility/Professional Professional Modifier Low / Median / High Price $559.46 / $827.62 / $1,011.52	Professional		$559.46	$827.62	$1,011.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $814.29 / $822.12 / $1,345.68	Professional		$814.29	$822.12	$1,345.68