Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $383.00 / $484.70	Professional		$228.47	$383.00	$484.70
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 $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $972.17 / $1,174.70 / $2,460.69	Facility		$972.17	$1,174.70	$2,460.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.93 / $2,931.93 / $3,331.73	Professional		$2,931.93	$2,931.93	$3,331.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.25 / $383.00 / $461.45	Facility		$292.25	$383.00	$461.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $562.69 / $562.69	Professional		$437.39	$562.69	$562.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.25 / $391.07 / $460.41	Facility		$292.25	$391.07	$460.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $493.48	Professional		$213.23	$213.23	$493.48
United Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $273.20 / $317.95	Professional		$184.69	$273.20	$317.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $460.41 / $621.54	Professional		$366.87	$460.41	$621.54