Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $98.16 / $100.84	Facility		$94.60	$98.16	$100.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $98.16 / $122.60	Professional		$91.54	$98.16	$122.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $101.08 / $164.80	Facility		$101.08	$101.08	$164.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $617.20 / $617.20 / $617.20	Facility		$617.20	$617.20	$617.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $680.22 / $859.59 / $1,314.08	Professional		$680.22	$859.59	$1,314.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $119.41 / $169.34	Facility		$94.60	$119.41	$169.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $186.32 / $252.98	Professional		$128.10	$186.32	$252.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $118.99 / $169.17	Facility		$94.60	$118.99	$169.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
United Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $119.36 / $176.40	Professional		$85.50	$119.36	$176.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $148.57 / $207.62	Professional		$130.85	$148.57	$207.62