Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $127.23 / $144.50	Facility		$101.50	$127.23	$144.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $154.47 / $193.42	Professional		$115.01	$154.47	$193.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.38 / $788.47 / $788.47	Facility		$280.38	$788.47	$788.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.55 / $1,105.55 / $1,277.03	Professional		$1,105.55	$1,105.55	$1,277.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $158.91 / $227.65	Facility		$126.52	$158.91	$227.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $199.32 / $275.98	Professional		$168.65	$199.32	$275.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $158.38 / $227.65	Facility		$122.01	$158.38	$227.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $145.53	Professional		$141.06	$141.06	$145.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $187.67 / $278.29	Professional		$138.12	$187.67	$278.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $150.85 / $208.12	Professional		$130.85	$150.85	$208.12