Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $354.81 / $1,122.02	Facility		$162.18	$354.81	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $269.15	Professional		$147.91	$194.98	$269.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $1,096.48	Facility		$162.18	$446.68	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $309.03 / $3,630.78	Professional		$35.48	$309.03	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $457.09	Facility		$173.78	$245.47	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $295.12	Professional		$151.36	$204.17	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $575.44	Facility		$162.18	$245.47	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $245.47 / $3,630.78	Professional		$35.48	$245.47	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $245.47	Facility		$89.13	$117.49	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $245.47	Professional		$25.12	$25.12	$245.47