Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $149.96 / $415.96	Facility		$59.47	$149.96	$415.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $59.47 / $96.44	Professional		$45.01	$59.47	$96.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $92.58	Facility		$80.37	$80.37	$92.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $162.80 / $425.75	Facility		$54.18	$162.80	$425.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $54.58 / $122.35	Professional		$42.60	$54.58	$122.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $381.76 / $381.76	Facility		$168.00	$381.76	$381.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $80.37 / $101.01	Facility		$58.53	$80.37	$101.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $80.37 / $104.70	Professional		$72.33	$80.37	$104.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $80.37 / $201.15	Facility		$57.87	$80.37	$201.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $61.88 / $116.54	Professional		$42.60	$61.88	$116.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $45.96 / $65.59	Professional		$33.76	$45.96	$65.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $31.34 / $80.37	Professional		$13.23	$31.34	$80.37