Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $276.85 / $842.92	Facility		$103.82	$276.85	$842.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $121.12 / $164.38	Professional		$96.90	$121.12	$164.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $396.77 / $771.55	Facility		$111.50	$396.77	$771.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $199.07 / $284.56	Professional		$130.83	$199.07	$284.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $821.89 / $821.89	Facility		$276.85	$821.89	$821.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $173.03 / $190.33	Facility		$96.90	$173.03	$190.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $173.03 / $173.03	Professional		$155.72	$173.03	$173.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $173.03 / $216.29	Facility		$96.90	$173.03	$216.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $155.72 / $284.56	Professional		$130.83	$155.72	$284.56
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $103.82	Professional		$72.67	$72.67	$103.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $296.39 / $304.00	Professional		$89.63	$296.39	$304.00