Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $645.65	Facility		$602.56	$602.56	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $831.76	Professional		$645.65	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $588.84	Facility		$407.38	$407.38	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $630.96	Facility		$407.38	$407.38	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74