Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $718.20 / $2,142.11	Facility		$282.60	$718.20	$2,142.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $266.00 / $349.66	Professional		$94.70	$266.00	$349.66
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 $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.82 / $107.00	Professional		$48.98	$51.82	$107.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $467.77 / $548.29	Facility		$140.85	$467.77	$548.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.11 / $1,345.11 / $1,345.11	Professional		$1,345.11	$1,345.11	$1,345.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $217.25 / $465.77	Facility		$95.74	$217.25	$465.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $61.22 / $154.25	Professional		$61.22	$61.22	$154.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $226.71 / $563.91	Facility		$86.15	$226.71	$563.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.82 / $107.14	Professional		$48.98	$51.82	$107.14
United Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $386.12 / $597.57	Professional		$263.63	$386.12	$597.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $198.41 / $219.78	Professional		$154.25	$198.41	$219.78