Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.76 / $657.76 / $710.38	Facility		$657.76	$657.76	$710.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.76 / $710.38 / $1,315.51	Professional		$657.76	$710.38	$1,315.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,502.35 / $1,502.35 / $1,502.35	Facility		$1,502.35	$1,502.35	$1,502.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $967.10	Professional		$705.98	$705.98	$967.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,510.58 / $6,958.79 / $6,958.79	Facility		$2,510.58	$6,958.79	$6,958.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,523.58 / $7,523.58 / $10,938.90	Professional		$7,523.58	$7,523.58	$10,938.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.45 / $1,166.82 / $1,502.35	Facility		$451.45	$1,166.82	$1,502.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $451.45 / $1,352.12 / $1,502.35	Professional		$451.45	$1,352.12	$1,502.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.45 / $1,127.89 / $1,502.35	Facility		$451.45	$1,127.89	$1,502.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $1,212.74	Professional		$705.98	$705.98	$1,212.74
United Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $821.03 / $1,026.28	Professional		$555.00	$821.03	$1,026.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $807.80 / $811.81 / $1,502.35	Professional		$807.80	$811.81	$1,502.35