Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $154.88	Professional		$79.43	$107.15	$154.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Facility		$173.78	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $128.82	Professional		$51.29	$60.26	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $794.33 / $794.33	Facility		$257.04	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $134.90 / $204.17	Facility		$19.50	$134.90	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $162.18	Professional		$85.11	$134.90	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $204.17	Facility		$70.79	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $72.44	Professional		$51.29	$60.26	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $58.88 / $104.71	Facility		$6.76	$58.88	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $128.82	Professional		$64.57	$85.11	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82