Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $65.12 / $717.48	Facility		$50.54	$65.12	$717.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $64.95 / $163.38	Professional		$50.54	$64.95	$163.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $86.91 / $98.13	Facility		$76.45	$86.91	$98.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $455.17 / $2,014.52	Facility		$174.64	$455.17	$2,014.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $97.21 / $184.50	Professional		$64.98	$97.21	$184.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.69 / $1,653.45 / $1,653.45	Facility		$257.69	$1,653.45	$1,653.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $748.39 / $798.60	Professional		$745.00	$748.39	$798.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $126.94 / $195.36	Facility		$80.64	$126.94	$195.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $151.04 / $176.66	Professional		$87.06	$151.04	$176.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.62 / $152.46 / $641.04	Facility		$86.62	$152.46	$641.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $103.22 / $184.50	Professional		$65.67	$103.22	$184.50
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $98.24 / $149.09	Professional		$68.41	$98.24	$149.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $87.06 / $124.21	Professional		$78.13	$87.06	$124.21