Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.36 / $102.70 / $312.68	Facility		$42.36	$102.70	$312.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $46.22 / $77.03	Professional		$35.95	$46.22	$77.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $64.19	Facility		$64.19	$64.19	$64.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $128.29 / $285.33	Facility		$41.72	$128.29	$285.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $78.06 / $97.58	Professional		$33.64	$78.06	$97.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $304.89 / $304.89	Facility		$102.70	$304.89	$304.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $64.19 / $70.61	Facility		$39.79	$64.19	$70.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $64.19 / $64.19	Professional		$57.77	$64.19	$64.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $64.19 / $89.22	Facility		$42.37	$64.19	$89.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $60.98 / $67.40	Professional		$49.43	$60.98	$67.40
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $26.96 / $38.51	Professional		$26.96	$26.96	$38.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.91 / $64.19	Professional		$6.74	$6.91	$64.19