Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.35 / $291.17 / $332.90	Facility		$246.35	$291.17	$332.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.35 / $307.01 / $437.81	Professional		$246.35	$307.01	$437.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $14.43 / $14.43	Facility		$14.43	$14.43	$14.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $344.32 / $1,571.27	Facility		$129.66	$344.32	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $76.81 / $140.68	Professional		$47.84	$76.81	$140.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $1,229.45 / $1,229.45	Facility		$184.07	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $669.64 / $938.34 / $938.34	Professional		$669.64	$938.34	$938.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $97.50 / $512.29	Facility		$15.07	$97.50	$512.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $26.70 / $74.09	Professional		$14.43	$26.70	$74.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $136.13 / $714.46	Facility		$16.14	$136.13	$714.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $77.40 / $140.68	Professional		$47.84	$77.40	$140.68
United Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $343.54 / $549.39	Professional		$62.89	$343.54	$549.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.81 / $381.78 / $549.11	Professional		$344.81	$381.78	$549.11