Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $549.54 / $1,737.80	Facility		$229.09	$549.54	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $416.87	Professional		$229.09	$302.00	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $1,698.24	Facility		$245.47	$363.08	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $575.44	Professional		$389.05	$467.74	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $691.83	Facility		$229.09	$363.08	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $457.09	Professional		$234.42	$323.59	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $891.25	Facility		$234.42	$380.19	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $398.11	Professional		$199.53	$363.08	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $380.19	Facility		$138.04	$181.97	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $380.19	Professional		$158.49	$158.49	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $380.19	Professional		$147.91	$147.91	$380.19