Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $114.82	Professional		$56.23	$85.11	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Facility		$57.54	$57.54	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $120.23	Professional		$48.98	$57.54	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $691.83 / $691.83	Facility		$218.78	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $154.88	Facility		$42.66	$97.72	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $131.83	Professional		$69.18	$114.82	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $93.33 / $154.88	Facility		$42.66	$93.33	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $102.33	Professional		$48.98	$48.98	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $44.67 / $81.28	Facility		$5.62	$44.67	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $95.50	Professional		$51.29	$66.07	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15