Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.41 / $728.81 / $1,535.22	Facility		$337.41	$728.81	$1,535.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.86 / $319.93 / $354.80	Professional		$231.86	$319.93	$354.80
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 $360.89 / $462.63 / $612.35	Facility		$360.89	$462.63	$612.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $255.80 / $469.05	Professional		$241.02	$255.80	$469.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $674.68 / $1,676.56 / $1,676.56	Facility		$674.68	$1,676.56	$1,676.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.79 / $2,070.79 / $2,704.05	Professional		$2,070.79	$2,070.79	$2,704.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.54 / $342.19 / $678.25	Facility		$281.54	$342.19	$678.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $301.27 / $301.27	Professional		$301.27	$301.27	$301.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.69 / $343.40 / $687.85	Facility		$271.69	$343.40	$687.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $255.80 / $469.05	Professional		$241.02	$255.80	$469.05
United Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $349.35 / $591.33	Professional		$279.48	$349.35	$591.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $176.85	Professional		$131.00	$131.00	$176.85