Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $123.03 / $389.05	Facility		$53.70	$123.03	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $93.33	Professional		$51.29	$69.18	$93.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $380.19	Facility		$63.10	$154.88	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $131.83 / $3,630.78	Professional		$35.48	$131.83	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $165.96	Facility		$56.23	$91.20	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $114.82	Professional		$51.29	$67.61	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $213.80	Facility		$56.23	$112.20	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $91.20 / $3,630.78	Professional		$35.48	$91.20	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $114.82	Facility		$40.74	$47.86	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $66.07	Professional		$36.31	$39.81	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11