Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.10 / $313.95 / $443.67	Facility		$299.10	$313.95	$443.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $338.67 / $443.67	Professional		$264.20	$338.67	$443.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $548.40 / $548.40	Facility		$548.40	$548.40	$548.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $452.67	Facility		$338.00	$338.00	$452.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $338.00 / $338.00	Professional		$287.30	$338.00	$338.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $650.88 / $1,637.27 / $1,696.94	Facility		$650.88	$1,637.27	$1,696.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $207.72 / $443.67	Facility		$40.72	$207.72	$443.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $176.64 / $465.14	Professional		$50.45	$176.64	$465.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $207.72 / $443.67	Facility		$47.16	$207.72	$443.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $338.00 / $338.00	Professional		$41.13	$338.00	$338.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $220.16 / $418.58	Professional		$166.92	$220.16	$418.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $326.18 / $326.18	Professional		$322.99	$326.18	$326.18