Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.82 / $678.46 / $1,869.34	Facility		$287.82	$678.46	$1,869.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $323.61 / $456.86	Professional		$266.50	$323.61	$456.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $380.72 / $380.72	Facility		$380.72	$380.72	$380.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.77 / $757.26 / $1,695.58	Facility		$244.77	$757.26	$1,695.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.78 / $463.80 / $579.75	Professional		$201.78	$463.80	$579.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $609.15 / $1,808.42 / $1,808.42	Facility		$609.15	$1,808.42	$1,808.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.85 / $380.72 / $418.79	Facility		$239.85	$380.72	$418.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.65 / $380.72 / $380.72	Professional		$342.65	$380.72	$380.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.28 / $380.72 / $529.20	Facility		$251.28	$380.72	$529.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $361.68 / $399.76	Professional		$293.14	$361.68	$399.76
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $159.90 / $228.43	Professional		$159.90	$159.90	$228.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $336.26 / $380.72	Professional		$148.47	$336.26	$380.72