Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $150.26 / $421.13	Facility		$53.35	$150.26	$421.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $63.47 / $102.92	Professional		$51.46	$63.47	$102.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Facility		$114.43	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $172.22 / $382.00	Facility		$59.93	$172.22	$382.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $131.75 / $2,556.11	Professional		$45.46	$131.75	$2,556.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $543.54 / $543.54	Facility		$178.51	$543.54	$543.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $111.50 / $120.15	Facility		$56.61	$111.50	$120.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $114.43 / $114.43	Professional		$97.27	$114.43	$114.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $114.43 / $157.22	Facility		$60.04	$114.43	$157.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $88.11 / $1,810.73	Professional		$45.46	$88.11	$1,810.73
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $40.03 / $57.18	Professional		$36.02	$40.03	$57.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $45.77 / $114.43	Professional		$33.45	$45.77	$114.43