Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $107.73 / $152.72	Professional		$80.95	$107.73	$152.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.41 / $168.41 / $199.17	Facility		$168.41	$168.41	$199.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $157.02	Facility		$70.53	$70.53	$157.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $59.95 / $128.61	Professional		$51.49	$59.95	$128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $802.71 / $802.71	Facility		$257.27	$802.71	$802.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $135.93 / $199.17	Facility		$118.87	$135.93	$199.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $143.15 / $199.17	Professional		$18.34	$143.15	$199.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $118.87 / $199.17	Facility		$70.53	$118.87	$199.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $128.61	Professional		$51.49	$70.53	$128.61
United Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $91.58 / $130.15	Professional		$65.08	$91.58	$130.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $130.15 / $130.15	Professional		$119.53	$130.15	$130.15