Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $625.20 / $1,903.58	Facility		$234.45	$625.20	$1,903.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $281.33 / $468.90	Professional		$218.82	$281.33	$468.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $390.75 / $390.75	Facility		$390.75	$390.75	$390.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.16 / $781.02 / $1,740.83	Facility		$257.16	$781.02	$1,740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $476.19 / $595.24	Professional		$207.10	$476.19	$595.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $625.20 / $1,856.06 / $1,856.06	Facility		$625.20	$1,856.06	$1,856.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $390.75 / $429.83	Facility		$246.17	$390.75	$429.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $390.75 / $390.75	Professional		$351.68	$390.75	$390.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.92 / $390.75 / $571.48	Facility		$256.92	$390.75	$571.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.88 / $371.21 / $412.24	Professional		$300.88	$371.21	$412.24
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $273.52	Professional		$164.12	$164.12	$273.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $203.55 / $390.75	Professional		$198.46	$203.55	$390.75