Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $121.39 / $359.37	Facility		$47.41	$121.39	$359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $38.24 / $48.25	Professional		$27.09	$38.24	$48.25
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 $228.34 / $697.40 / $1,034.17	Facility		$228.34	$697.40	$1,034.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $146.58 / $146.58	Professional		$146.58	$146.58	$146.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $163.12 / $163.12	Facility		$65.63	$163.12	$163.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $262.13	Professional		$237.52	$237.52	$262.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $44.96 / $124.36	Facility		$28.64	$44.96	$124.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Professional		$29.26	$29.26	$29.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $47.41 / $341.07	Facility		$28.90	$47.41	$341.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $55.51 / $146.58	Professional		$29.26	$55.51	$146.58
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $352.10 / $528.75	Facility		$230.13	$352.10	$528.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $29.00 / $47.79	Professional		$21.99	$29.00	$47.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $43.23	Professional		$32.02	$32.02	$43.23