Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.26 / $370.26 / $399.88	Facility		$370.26	$370.26	$399.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.38 / $399.88 / $740.51	Professional		$337.38	$399.88	$740.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $845.68 / $845.68 / $845.68	Facility		$845.68	$845.68	$845.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $458.59	Facility		$458.59	$458.59	$458.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $458.59	Professional		$334.77	$334.77	$458.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,692.24 / $3,780.88 / $3,780.88	Facility		$3,692.24	$3,780.88	$3,780.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,707.20 / $4,707.20 / $5,316.83	Professional		$4,707.20	$4,707.20	$5,316.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $589.38 / $845.68	Facility		$228.32	$589.38	$845.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.90 / $761.11 / $845.68	Professional		$230.90	$761.11	$845.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $565.08 / $845.68	Facility		$228.32	$565.08	$845.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $334.77 / $472.35	Professional		$334.77	$334.77	$472.35
United Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $436.00 / $544.99	Professional		$294.73	$436.00	$544.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.97 / $433.10 / $845.68	Professional		$428.97	$433.10	$845.68