Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $67.59 / $69.20	Facility		$65.15	$67.59	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $68.73 / $87.77	Professional		$64.11	$68.73	$87.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $118.31	Facility		$69.56	$69.56	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Professional		$102.67	$102.67	$102.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $424.81 / $424.81 / $424.81	Facility		$424.81	$424.81	$424.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $471.02 / $623.66 / $957.00	Professional		$471.02	$623.66	$957.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $82.67 / $122.40	Facility		$65.15	$82.67	$122.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $128.35 / $184.14	Professional		$88.24	$128.35	$184.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $82.51 / $121.25	Facility		$65.15	$82.51	$121.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Professional		$102.67	$102.67	$102.67
United Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $84.50 / $122.79	Professional		$60.45	$84.50	$122.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $108.07 / $151.12	Professional		$95.25	$108.07	$151.12