Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $54.04 / $61.63	Facility		$43.31	$54.04	$61.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $67.89 / $84.20	Professional		$49.28	$67.89	$84.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $72.39 / $72.39	Facility		$72.39	$72.39	$72.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $378.53 / $378.53	Facility		$125.69	$378.53	$378.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.20 / $472.20 / $609.23	Professional		$472.20	$472.20	$609.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $71.73 / $96.24	Facility		$53.30	$71.73	$96.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $93.35 / $129.26	Professional		$78.98	$93.35	$129.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $71.34 / $96.24	Facility		$51.82	$71.34	$96.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.38	Professional		$66.06	$66.06	$67.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $81.25 / $120.02	Professional		$59.12	$81.25	$120.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $70.05 / $97.27	Professional		$61.29	$70.05	$97.27