Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $88.85 / $100.74	Facility		$70.55	$88.85	$100.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $111.74 / $137.29	Professional		$79.98	$111.74	$137.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $118.83 / $118.83	Facility		$118.83	$118.83	$118.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $601.19 / $601.19	Facility		$201.04	$601.19	$601.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $768.84 / $768.84 / $973.43	Professional		$768.84	$768.84	$973.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $117.35 / $162.88	Facility		$88.85	$117.35	$162.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $151.80 / $210.19	Professional		$128.44	$151.80	$210.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $117.17 / $162.88	Facility		$85.19	$117.17	$162.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $109.56	Professional		$107.43	$107.43	$109.56
United Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $136.85 / $200.20	Professional		$99.12	$136.85	$200.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $114.81 / $158.50	Professional		$99.66	$114.81	$158.50