Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.97 / $255.92 / $779.20	Facility		$95.97	$255.92	$779.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $111.97 / $151.94	Professional		$89.57	$111.97	$151.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $159.94 / $159.94	Facility		$159.94	$159.94	$159.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.08 / $366.72 / $712.65	Facility		$103.08	$366.72	$712.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $194.94 / $243.68	Professional		$84.77	$194.94	$243.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.92 / $759.76 / $759.76	Facility		$255.92	$759.76	$759.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $159.94 / $175.95	Facility		$89.57	$159.94	$175.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $159.94 / $159.94	Professional		$143.96	$159.94	$159.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $159.94 / $199.94	Facility		$89.57	$159.94	$199.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $151.94 / $168.75	Professional		$123.16	$151.94	$168.75
United Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $55.98 / $87.97	Facility		$55.98	$55.98	$87.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $67.18 / $95.97	Professional		$67.18	$67.18	$95.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.64 / $159.94	Professional		$9.40	$9.64	$159.94