Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $851.14 / $2,041.74	Facility		$436.52	$851.14	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $316.23	Professional		$169.82	$218.78	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $1,000.00	Facility		$131.83	$162.18	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $363.08	Professional		$208.93	$234.42	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $2,630.27	Facility		$1,288.25	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $616.60	Facility		$177.83	$257.04	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $389.05	Professional		$173.78	$223.87	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $426.58	Facility		$177.83	$251.19	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $363.08	Professional		$208.93	$234.42	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $363.08	Facility		$141.25	$275.42	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $316.23	Professional		$151.36	$181.97	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $229.09	Professional		$186.21	$194.98	$229.09