Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.23 / $480.90 / $1,434.36	Facility		$189.23	$480.90	$1,434.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $178.11 / $201.98	Professional		$31.00	$178.11	$201.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.87 / $371.88 / $475.16	Facility		$149.87	$371.88	$475.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $26.49 / $54.11	Professional		$24.74	$26.49	$54.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $296.60 / $296.60	Facility		$85.00	$296.60	$296.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.43 / $1,157.43 / $1,157.43	Professional		$1,157.43	$1,157.43	$1,157.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $146.03 / $294.11	Facility		$32.10	$146.03	$294.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $30.92 / $32.10	Professional		$30.92	$30.92	$32.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $178.37 / $470.35	Facility		$33.75	$178.37	$470.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $26.66 / $142.49	Professional		$24.74	$26.66	$142.49
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $180.78 / $250.18	Facility		$108.97	$180.78	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $193.68 / $310.66	Professional		$149.97	$193.68	$310.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $40.13 / $170.50	Professional		$32.10	$40.13	$170.50