Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.37 / $637.30 / $1,755.96	Facility		$270.37	$637.30	$1,755.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $236.04 / $346.90	Professional		$4.78	$236.04	$346.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $357.63 / $357.63	Facility		$357.63	$357.63	$357.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $714.81 / $1,592.86	Facility		$249.90	$714.81	$1,592.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.54 / $435.72 / $544.65	Professional		$189.54	$435.72	$544.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.21 / $1,698.74 / $1,698.74	Facility		$572.21	$1,698.74	$1,698.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $357.63 / $393.39	Facility		$221.73	$357.63	$393.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.87 / $357.63 / $357.63	Professional		$321.87	$357.63	$357.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.31 / $357.63 / $497.11	Facility		$225.31	$357.63	$497.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $339.75 / $375.51	Professional		$275.38	$339.75	$375.51
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.19 / $214.58	Professional		$150.19	$150.19	$214.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.25 / $357.63	Professional		$3.35	$4.25	$357.63