Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Facility		$831.76	$831.76	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,584.89	Professional		$812.83	$933.25	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,949.84 / $1,949.84	Facility		$79.43	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,318.26	Professional		$977.24	$977.24	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $13,803.84 / $13,803.84	Professional		$9,549.93	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $2,691.53	Facility		$691.83	$1,778.28	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,862.09	Professional		$812.83	$1,000.00	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Professional		$1,348.96	$1,348.96	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,621.81 / $2,884.03	Facility		$812.83	$1,621.81	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,318.26	Professional		$977.24	$977.24	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,258.93 / $1,949.84	Facility		$630.96	$1,258.93	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,288.25	Professional		$707.95	$1,047.13	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84