Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Professional		$906.54	$906.54	$906.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.32 / $510.39 / $611.51	Professional		$486.32	$510.39	$611.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,450.46	Facility		$906.54	$906.54	$1,450.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,450.46	Facility		$906.54	$906.54	$1,450.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $215.10 / $336.05	Professional		$187.10	$215.10	$336.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $431.83 / $604.55	Professional		$10.00	$431.83	$604.55