Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $302.00 / $446.68	Facility		$281.84	$302.00	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $446.68	Professional		$245.47	$338.84	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $562.34	Facility		$549.54	$549.54	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $338.84	Professional		$288.40	$288.40	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,995.26 / $1,995.26	Facility		$602.56	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $239.88 / $501.19	Facility		$54.95	$239.88	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $446.68	Professional		$245.47	$407.38	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $2,754.23	Professional		$36.31	$50.12	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $263.03 / $501.19	Facility		$52.48	$263.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $288.40 / $338.84	Professional		$56.23	$288.40	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $151.36 / $275.42	Facility		$21.88	$151.36	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $416.87	Professional		$165.96	$218.78	$416.87