Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $354.81	Facility		$331.13	$331.13	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $676.08	Professional		$331.13	$416.87	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $758.58 / $758.58	Facility		$79.43	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Professional		$467.74	$467.74	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $1,071.52	Facility		$354.81	$676.08	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $891.25	Professional		$331.13	$446.68	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $407.38	Professional		$398.11	$398.11	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,122.02	Facility		$354.81	$645.65	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $645.65	Professional		$467.74	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $870.96	Facility		$281.84	$562.34	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $575.44	Professional		$309.03	$467.74	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58