Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $100.74 / $102.62	Facility		$97.36	$100.74	$102.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $102.62 / $131.93	Professional		$96.81	$102.62	$131.93
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 $97.36 / $113.61 / $152.60	Facility		$97.36	$113.61	$152.60
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 $97.36 / $113.01 / $152.60	Facility		$97.36	$113.01	$152.60
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 $99.20 / $137.41 / $201.91	Professional		$99.20	$137.41	$201.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $114.81 / $158.50	Professional		$99.66	$114.81	$158.50