Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.19 / $693.19 / $748.64	Facility		$693.19	$693.19	$748.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.98 / $748.64 / $1,386.37	Professional		$653.98	$748.64	$1,386.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,583.27 / $1,583.27 / $1,583.27	Facility		$1,583.27	$1,583.27	$1,583.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,036.33	Professional		$756.53	$756.53	$1,036.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,252.12 / $7,109.86 / $8,703.04	Facility		$3,252.12	$7,109.86	$8,703.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,440.37 / $9,666.95 / $10,306.28	Professional		$9,440.37	$9,666.95	$10,306.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $1,103.39 / $1,583.27	Facility		$442.58	$1,103.39	$1,583.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $1,374.17 / $1,583.27	Professional		$447.58	$1,374.17	$1,583.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $1,057.90 / $1,583.27	Facility		$442.58	$1,057.90	$1,583.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $756.53 / $1,067.43	Professional		$756.53	$756.53	$1,067.43
United Facility/Professional Professional Modifier Low / Median / High Price $571.29 / $845.14 / $1,056.42	Professional		$571.29	$845.14	$1,056.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.52 / $839.51 / $1,583.27	Professional		$831.52	$839.51	$1,583.27