Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $328.97 / $355.28	Facility		$328.97	$328.97	$355.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.97 / $366.67 / $671.70	Professional		$328.97	$366.67	$671.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $751.38 / $751.38 / $751.38	Facility		$751.38	$751.38	$751.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $644.36	Professional		$470.38	$470.38	$644.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,034.25 / $4,603.08 / $4,603.08	Facility		$4,034.25	$4,603.08	$4,603.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,651.54 / $4,651.54 / $5,635.35	Professional		$4,651.54	$4,651.54	$5,635.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $537.78 / $751.38	Facility		$242.00	$537.78	$751.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.73 / $685.02 / $871.52	Professional		$244.73	$685.02	$871.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $552.26 / $751.38	Facility		$242.00	$552.26	$751.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $646.37	Professional		$470.38	$470.38	$646.37
United Facility/Professional Professional Modifier Low / Median / High Price $312.38 / $462.11 / $564.79	Professional		$312.38	$462.11	$564.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.39 / $459.77 / $751.38	Professional		$455.39	$459.77	$751.38