Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $132.16 / $134.72	Facility		$129.63	$132.16	$134.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $134.72 / $227.25	Professional		$125.21	$134.72	$227.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $290.27 / $290.27	Facility		$290.27	$290.27	$290.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.79 / $1,533.12 / $1,822.29	Facility		$778.79	$1,533.12	$1,822.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.67 / $2,161.35 / $2,161.35	Professional		$2,110.67	$2,161.35	$2,161.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $202.30 / $290.27	Facility		$92.67	$202.30	$290.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $262.27 / $336.73	Professional		$92.67	$262.27	$336.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $202.30 / $290.27	Facility		$92.67	$202.30	$290.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $232.06	Professional		$164.47	$164.47	$232.06
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $326.08 / $383.64	Facility		$326.08	$326.08	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $168.59 / $205.93	Professional		$118.81	$168.59	$205.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.38 / $175.24 / $290.27	Professional		$172.38	$175.24	$290.27