Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $83.21 / $116.04	Professional		$62.45	$83.21	$116.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.24 / $150.24 / $150.87	Facility		$150.24	$150.24	$150.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $131.21	Facility		$57.76	$57.76	$131.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $119.96	Professional		$49.10	$57.76	$119.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $652.16 / $697.92	Facility		$271.94	$652.16	$697.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $99.09 / $150.87	Facility		$42.97	$99.09	$150.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $118.08 / $138.80	Professional		$13.88	$118.08	$138.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $86.05 / $150.87	Facility		$42.97	$86.05	$150.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $103.09	Professional		$49.10	$57.76	$103.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $68.14 / $95.49	Professional		$52.12	$68.14	$95.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $106.35 / $106.35	Professional		$92.64	$106.35	$106.35