Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Facility		$371.54	$371.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $691.83	Professional		$309.03	$398.11	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $870.96	Facility		$79.43	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,370.32	Professional		$4,677.35	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $1,047.13	Facility		$354.81	$660.69	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $812.83	Professional		$323.59	$407.38	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $1,047.13	Facility		$354.81	$630.96	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $812.83	Facility		$269.15	$524.81	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $537.03	Professional		$295.12	$446.68	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96