Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $152.22 / $202.21	Professional		$113.25	$152.22	$202.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $254.90 / $254.90 / $254.90	Facility		$254.90	$254.90	$254.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $252.36	Facility		$174.27	$174.27	$252.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $258.66	Professional		$22.19	$174.27	$258.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $481.31 / $1,325.73 / $1,374.08	Facility		$481.31	$1,325.73	$1,374.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $121.71 / $202.85	Facility		$28.38	$121.71	$202.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $28.38 / $237.17	Professional		$23.45	$28.38	$237.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $77.59 / $202.85	Facility		$28.38	$77.59	$202.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $174.27	Professional		$19.86	$174.27	$174.27
United Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $126.73 / $172.42	Professional		$97.26	$126.73	$172.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $206.74 / $206.74	Professional		$180.86	$206.74	$206.74