Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $794.33	Facility		$104.71	$251.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $186.21	Professional		$102.33	$134.90	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $776.25	Facility		$112.20	$131.83	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $302.00	Professional		$131.83	$199.53	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $309.03	Facility		$89.13	$154.88	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $208.93	Professional		$102.33	$141.25	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $436.52	Facility		$89.13	$173.78	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $309.03	Professional		$125.89	$162.18	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $173.78	Facility		$61.66	$81.28	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $173.78	Professional		$72.44	$72.44	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12