Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $61.82 / $63.89	Facility		$59.78	$61.82	$63.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $63.89 / $81.30	Professional		$59.08	$63.89	$81.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $108.58	Facility		$64.62	$64.62	$108.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $94.93 / $94.93	Professional		$94.93	$94.93	$94.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.29 / $390.29 / $390.29	Facility		$390.29	$390.29	$390.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.41 / $577.16 / $886.58	Professional		$432.41	$577.16	$886.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $76.26 / $112.33	Facility		$59.78	$76.26	$112.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $118.67 / $170.26	Professional		$80.77	$118.67	$170.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $76.25 / $111.57	Facility		$59.78	$76.25	$111.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $94.93 / $94.93	Professional		$94.93	$94.93	$94.93
United Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $81.25 / $119.35	Professional		$58.59	$81.25	$119.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $99.98 / $139.62	Professional		$88.07	$99.98	$139.62