Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.12 / $404.13 / $448.97	Professional		$404.12	$404.13	$448.97
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 $104.51 / $104.51 / $104.51	Professional		$104.51	$104.51	$104.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $829.27 / $829.27 / $829.27	Professional		$829.27	$829.27	$829.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $593.33	Facility		$404.13	$404.13	$593.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $589.29	Facility		$404.13	$404.13	$589.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $104.51	Professional		$104.51	$104.51	$104.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $472.50	Professional		$350.00	$350.00	$472.50