Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $59.48 / $659.16	Facility		$46.14	$59.48	$659.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $59.10 / $132.79	Professional		$46.14	$59.10	$132.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $69.43 / $73.09	Facility		$65.70	$69.43	$73.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.18 / $392.07 / $1,571.27	Facility		$152.18	$392.07	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $87.18 / $168.66	Professional		$57.01	$87.18	$168.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $1,229.45 / $1,229.45	Facility		$159.27	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.17 / $462.67 / $605.63	Professional		$462.17	$462.67	$605.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $98.33 / $143.97	Facility		$65.98	$98.33	$143.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $119.12 / $161.41	Professional		$65.81	$119.12	$161.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $116.03 / $596.52	Facility		$69.53	$116.03	$596.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $91.22 / $172.37	Professional		$59.32	$91.22	$172.37
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $576.99 / $866.23	Facility		$377.12	$576.99	$866.23
United Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $82.60 / $121.47	Professional		$62.58	$82.60	$121.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $65.81 / $93.87	Professional		$59.08	$65.81	$93.87