Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $315.27 / $664.37	Facility		$307.58	$315.27	$664.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $315.27 / $340.49	Professional		$307.58	$315.27	$340.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $365.25 / $1,698.05 / $1,698.05	Facility		$365.25	$1,698.05	$1,698.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.99 / $1,460.99 / $1,730.12	Professional		$1,460.99	$1,460.99	$1,730.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $384.47 / $667.10	Facility		$307.58	$384.47	$667.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.35 / $288.35 / $288.35	Professional		$288.35	$288.35	$288.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.04 / $384.47 / $641.15	Facility		$308.04	$384.47	$641.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $400.45	Professional		$326.80	$326.80	$400.45
United Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Professional		$320.39	$320.39	$320.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $448.55	Professional		$320.39	$320.39	$448.55