Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.68 / $2,170.44 / $2,170.44	Facility		$294.68	$2,170.44	$2,170.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $327.43 / $390.48	Professional		$327.43	$327.43	$390.48
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 Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $310.31 / $310.31	Professional		$310.31	$310.31	$310.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $374.40	Facility		$100.00	$100.00	$374.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $692.83	Facility		$327.43	$327.43	$692.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.43 / $327.43 / $692.83	Facility		$327.43	$327.43	$692.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $310.31 / $310.31	Professional		$310.31	$310.31	$310.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $26.95	Professional		$19.25	$19.25	$26.95