Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $138.36 / $142.41	Facility		$133.65	$138.36	$142.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $142.41 / $178.85	Professional		$132.41	$142.41	$178.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.27 / $147.27 / $220.21	Facility		$147.27	$147.27	$220.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $875.25 / $875.25 / $875.25	Facility		$875.25	$875.25	$875.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $971.64 / $1,166.72 / $1,756.13	Professional		$971.64	$1,166.72	$1,756.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $169.42 / $226.46	Facility		$133.65	$169.42	$226.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $256.35 / $338.38	Professional		$181.47	$256.35	$338.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $169.42 / $226.25	Facility		$133.65	$169.42	$226.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Professional		$188.67	$188.67	$188.67
United Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $181.14 / $286.81	Professional		$129.38	$181.14	$286.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $199.32 / $277.41	Professional		$175.03	$199.32	$277.41