Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $407.38	Professional		$67.61	$89.13	$407.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $457.09	Professional		$107.15	$134.90	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $831.76	Professional		$691.83	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $147.91 / $3,890.45	Facility		$60.26	$147.91	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $407.38	Professional		$67.61	$89.13	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $190.55	Facility		$69.18	$104.71	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $457.09	Professional		$93.33	$165.96	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $147.91	Professional		$70.79	$95.50	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $89.13	Professional		$83.18	$89.13	$89.13