Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $200.49 / $561.85	Facility		$68.66	$200.49	$561.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $72.09 / $91.54	Professional		$64.08	$72.09	$91.54
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 Facility Modifier Low / Median / High Price $76.23 / $251.40 / $510.32	Facility		$76.23	$251.40	$510.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $139.65 / $167.32	Professional		$54.93	$139.65	$167.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $543.54 / $543.54	Facility		$183.09	$543.54	$543.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.15 / $572.15 / $858.23	Professional		$572.15	$572.15	$858.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $114.43 / $160.52	Facility		$68.66	$114.43	$160.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $114.43 / $143.04	Professional		$108.71	$114.43	$143.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $122.72 / $412.54	Facility		$77.73	$122.72	$412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $120.72 / $164.78	Professional		$88.11	$120.72	$164.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $70.48	Professional		$48.06	$48.06	$70.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $114.43	Professional		$45.77	$45.77	$114.43