Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $151.36 / $416.87	Facility		$56.23	$151.36	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $95.50	Professional		$47.86	$64.57	$95.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Facility		$81.28	$81.28	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $162.18 / $457.09	Facility		$54.95	$162.18	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $123.03	Professional		$42.66	$54.95	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.28 / $151.36	Facility		$58.88	$81.28	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $102.33	Professional		$47.86	$69.18	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $67.61	Professional		$60.26	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $234.42	Facility		$56.23	$81.28	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $120.23	Professional		$42.66	$54.95	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $81.28	Facility		$28.84	$47.86	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $67.61	Professional		$33.88	$46.77	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $81.28	Professional		$31.62	$31.62	$81.28