Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.89 / $466.44 / $691.89	Facility		$450.89	$466.44	$691.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.02 / $520.86 / $691.89	Professional		$412.02	$520.86	$691.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $887.80 / $887.80 / $887.80	Facility		$887.80	$887.80	$887.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $872.40 / $872.40	Facility		$872.40	$872.40	$872.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $643.37 / $643.37	Professional		$643.37	$643.37	$643.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $4,141.80 / $4,292.81	Facility		$1,470.45	$4,141.80	$4,292.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,018.27 / $4,018.27 / $6,619.13	Professional		$4,018.27	$4,018.27	$6,619.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $88.78 / $888.54	Facility		$57.47	$88.78	$888.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $69.48 / $249.36	Professional		$57.47	$69.48	$249.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $88.78 / $872.40	Facility		$57.47	$88.78	$872.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $643.37	Professional		$65.25	$643.37	$643.37
United Facility/Professional Professional Modifier Low / Median / High Price $323.73 / $372.51 / $660.43	Professional		$323.73	$372.51	$660.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.37 / $532.37 / $532.37	Professional		$532.37	$532.37	$532.37