Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $86.33 / $88.25	Facility		$83.03	$86.33	$88.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $88.25 / $112.95	Professional		$81.39	$88.25	$112.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $101.30 / $101.30	Facility		$101.30	$101.30	$101.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $529.32 / $529.32	Facility		$175.75	$529.32	$529.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.36 / $661.36 / $852.30	Professional		$661.36	$661.36	$852.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $96.48 / $129.38	Facility		$83.03	$96.48	$129.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $130.78 / $181.08	Professional		$110.66	$130.78	$181.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.03 / $95.81 / $129.38	Facility		$83.03	$95.81	$129.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $94.39	Professional		$92.55	$92.55	$94.39
United Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $110.07 / $167.76	Professional		$82.55	$110.07	$167.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $98.22 / $136.28	Professional		$85.86	$98.22	$136.28