Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $316.41 / $843.77	Facility		$118.97	$316.41	$843.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $131.38 / $213.07	Professional		$99.43	$131.38	$213.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Facility		$177.56	$177.56	$177.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $390.09 / $785.96	Facility		$123.75	$390.09	$785.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $94.11 / $269.70	Professional		$78.62	$94.11	$269.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $284.10 / $843.41 / $843.41	Facility		$284.10	$843.41	$843.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $177.56 / $195.32	Facility		$99.43	$177.56	$195.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.31 / $177.56 / $177.56	Professional		$156.31	$177.56	$177.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.54 / $177.56 / $445.29	Facility		$106.54	$177.56	$445.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $136.72 / $177.56	Professional		$78.62	$136.72	$177.56
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $110.00	Professional		$74.58	$74.58	$110.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $71.02 / $177.56	Professional		$69.25	$71.02	$177.56