Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.90 / $491.90 / $531.25	Facility		$491.90	$491.90	$531.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.90 / $531.25 / $983.80	Professional		$491.90	$531.25	$983.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,123.52 / $1,123.52 / $1,123.52	Facility		$1,123.52	$1,123.52	$1,123.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $719.79	Professional		$525.45	$525.45	$719.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.71 / $5,694.72 / $6,924.79	Facility		$2,258.71	$5,694.72	$6,924.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,260.09 / $7,260.09 / $8,200.43	Professional		$7,260.09	$7,260.09	$8,200.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $788.24 / $1,123.52	Facility		$352.15	$788.24	$1,123.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $1,011.17 / $1,123.52	Professional		$356.13	$1,011.17	$1,123.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $750.70 / $1,123.52	Facility		$352.15	$750.70	$1,123.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $525.45 / $741.38	Professional		$525.45	$525.45	$741.38
United Facility/Professional Professional Modifier Low / Median / High Price $454.57 / $672.45 / $821.87	Professional		$454.57	$672.45	$821.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.62 / $667.98 / $1,123.52	Professional		$661.62	$667.98	$1,123.52