Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $144.50 / $147.63	Facility		$139.43	$144.50	$147.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $144.50 / $186.75	Professional		$136.10	$144.50	$186.75
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 $137.69 / $152.52 / $213.28	Facility		$137.69	$152.52	$213.28
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 $138.52 / $151.65 / $213.28	Facility		$138.52	$151.65	$213.28
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 $139.40 / $192.45 / $284.30	Professional		$139.40	$192.45	$284.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $150.85 / $208.12	Professional		$130.85	$150.85	$208.12