Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $229.09 / $724.44	Facility		$95.50	$229.09	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $173.78	Professional		$95.50	$125.89	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $707.95	Facility		$104.71	$123.03	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $245.47	Professional		$162.18	$194.98	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $295.12	Facility		$95.50	$158.49	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $186.21	Professional		$100.00	$134.90	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $398.11	Facility		$83.18	$158.49	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $169.82	Professional		$79.43	$151.36	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $158.49	Facility		$57.54	$75.86	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $158.49	Professional		$67.61	$67.61	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $158.49	Professional		$9.33	$9.33	$158.49