Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $410.24 / $443.05	Facility		$410.24	$410.24	$443.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $443.05 / $820.47	Professional		$410.24	$443.05	$820.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $937.00 / $937.00	Facility		$937.00	$937.00	$937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $510.69	Professional		$434.09	$434.09	$510.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,998.55 / $4,490.37 / $4,490.37	Facility		$3,998.55	$4,490.37	$4,490.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,776.42 / $4,776.42 / $6,129.68	Professional		$4,776.42	$4,776.42	$6,129.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $703.47 / $937.00	Facility		$263.23	$703.47	$937.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.23 / $862.04 / $950.66	Professional		$263.23	$862.04	$950.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $626.09 / $937.00	Facility		$263.23	$626.09	$937.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $526.01	Professional		$434.09	$434.09	$526.01
United Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $509.27 / $626.09	Professional		$339.78	$509.27	$626.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.87 / $494.56 / $937.00	Professional		$490.87	$494.56	$937.00