Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.75 / $225.26 / $592.74	Facility		$91.75	$225.26	$592.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $102.61 / $120.72	Professional		$90.54	$102.61	$120.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $120.72	Facility		$120.72	$120.72	$120.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.71 / $267.08 / $560.41	Facility		$117.71	$267.08	$560.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $157.50	Professional		$63.47	$63.47	$157.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $210.05 / $573.41 / $573.41	Facility		$210.05	$573.41	$573.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $120.72 / $146.07	Facility		$84.50	$120.72	$146.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $120.72 / $157.31	Professional		$108.65	$120.72	$157.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $120.72 / $279.07	Facility		$84.50	$120.72	$279.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $92.95 / $172.92	Professional		$63.47	$92.95	$172.92
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $69.55 / $98.56	Professional		$50.70	$69.55	$98.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $59.61 / $120.72	Professional		$47.08	$59.61	$120.72