Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $95.55 / $97.39	Facility		$93.71	$95.55	$97.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $97.39 / $158.03	Professional		$88.20	$97.39	$158.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $209.85 / $209.85 / $209.85	Facility		$209.85	$209.85	$209.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $107.35	Professional		$107.35	$107.35	$107.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $350.68 / $981.02 / $981.02	Facility		$350.68	$981.02	$981.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.93 / $1,050.93 / $1,554.00	Professional		$1,050.93	$1,050.93	$1,554.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $141.90 / $209.85	Facility		$60.43	$141.90	$209.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $188.87 / $211.60	Professional		$60.43	$188.87	$211.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $146.24 / $209.85	Facility		$60.43	$146.24	$209.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $175.94	Professional		$107.35	$107.35	$175.94
United Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $112.80 / $134.29	Professional		$78.01	$112.80	$134.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $114.28 / $209.85	Professional		$112.41	$114.28	$209.85