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 / $275.42 / $1,000.00	Facility		$131.83	$275.42	$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 $208.93 / $380.19 / $831.76	Facility		$208.93	$380.19	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $416.87	Professional		$173.78	$223.87	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $691.83	Facility		$218.78	$380.19	$691.83
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 $288.40 / $549.54 / $724.44	Facility		$288.40	$549.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $645.65	Professional		$309.03	$380.19	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $229.09	Professional		$186.21	$194.98	$229.09