Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $103.98 / $107.03	Facility		$100.50	$103.98	$107.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $107.03 / $136.93	Professional		$99.34	$107.03	$136.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $167.53	Facility		$109.87	$109.87	$167.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Professional		$145.22	$145.22	$145.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.90 / $652.90 / $652.90	Facility		$652.90	$652.90	$652.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $732.20 / $898.97 / $1,349.40	Professional		$732.20	$898.97	$1,349.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $128.00 / $174.38	Facility		$100.50	$128.00	$174.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $197.31 / $260.45	Professional		$135.91	$197.31	$260.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $127.95 / $174.09	Facility		$100.50	$127.95	$174.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Professional		$145.22	$145.22	$145.22
United Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $139.08 / $205.95	Professional		$99.07	$139.08	$205.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $153.41 / $213.65	Professional		$134.72	$153.41	$213.65