Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $331.13 / $851.14	Facility		$117.49	$331.13	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $194.98	Professional		$107.15	$141.25	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $371.54 / $776.25	Facility		$123.03	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $309.03	Professional		$79.43	$144.54	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $331.13	Facility		$89.13	$173.78	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $194.98	Professional		$107.15	$151.36	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $177.83 / $501.19	Facility		$89.13	$177.83	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $295.12	Professional		$81.28	$138.04	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $177.83	Facility		$64.57	$89.13	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $109.65	Professional		$74.13	$74.13	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $177.83	Professional		$69.18	$69.18	$177.83