Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.90 / $390.59 / $994.68	Facility		$154.90	$390.59	$994.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $154.90 / $251.18	Professional		$117.22	$154.90	$251.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $152.06 / $209.32 / $209.32	Facility		$152.06	$209.32	$209.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $345.59 / $926.95	Facility		$142.18	$345.59	$926.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $106.75 / $317.85	Professional		$80.66	$106.75	$317.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $364.22 / $994.27 / $994.27	Facility		$364.22	$994.27	$994.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.59 / $209.32 / $236.54	Facility		$125.59	$209.32	$236.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $209.32 / $209.32	Professional		$177.92	$209.32	$209.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.59 / $209.32 / $480.19	Facility		$125.59	$209.32	$480.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $106.75 / $209.32	Professional		$76.18	$106.75	$209.32
United Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $87.91 / $125.59	Professional		$75.61	$87.91	$125.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $83.73 / $209.32	Professional		$81.63	$83.73	$209.32