Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.19 / $478.19 / $516.45	Facility		$478.19	$478.19	$516.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.19 / $516.45 / $956.38	Professional		$478.19	$516.45	$956.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,092.22 / $1,092.22 / $1,092.22	Facility		$1,092.22	$1,092.22	$1,092.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $875.29	Professional		$638.96	$638.96	$875.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,634.02 / $6,185.97 / $6,185.97	Facility		$5,634.02	$6,185.97	$6,185.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,301.80 / $6,301.80 / $8,127.53	Professional		$6,301.80	$6,301.80	$8,127.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $781.71 / $1,092.22	Facility		$349.02	$781.71	$1,092.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.96 / $987.94 / $1,273.08	Professional		$352.96	$987.94	$1,273.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $781.71 / $1,092.22	Facility		$349.02	$781.71	$1,092.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $901.55	Professional		$638.96	$638.96	$901.55
United Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $666.47 / $820.27	Professional		$450.53	$666.47	$820.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.74 / $659.00 / $1,092.22	Professional		$655.74	$659.00	$1,092.22