Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.98 / $406.06 / $576.99	Facility		$388.98	$406.06	$576.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $434.40 / $576.99	Professional		$343.60	$434.40	$576.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $709.60 / $709.60 / $709.60	Facility		$709.60	$709.60	$709.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $575.70	Facility		$316.74	$316.74	$575.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $316.74 / $316.74	Professional		$269.23	$316.74	$316.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,283.91 / $3,536.46 / $3,665.39	Facility		$1,283.91	$3,536.46	$3,665.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $273.51 / $610.74	Facility		$53.63	$273.51	$610.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $232.64 / $697.00	Professional		$65.28	$232.64	$697.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $273.51 / $576.99	Facility		$60.45	$273.51	$576.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $316.74 / $316.74	Professional		$52.19	$316.74	$316.74
United Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $289.79 / $551.12	Professional		$221.05	$289.79	$551.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.39 / $427.04 / $427.04	Professional		$425.39	$427.04	$427.04