Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.33 / $238.92 / $243.52	Facility		$234.33	$238.92	$243.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.55 / $243.52 / $444.50	Professional		$220.55	$243.52	$444.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.73 / $524.73 / $524.73	Facility		$524.73	$524.73	$524.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $387.54	Professional		$282.89	$282.89	$387.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.15 / $2,619.48 / $3,128.68	Facility		$1,216.15	$2,619.48	$3,128.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,585.38 / $3,671.42 / $3,705.00	Professional		$3,585.38	$3,671.42	$3,705.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $365.68 / $524.73	Facility		$159.11	$365.68	$524.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $472.26 / $658.67	Professional		$159.11	$472.26	$658.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $365.68 / $524.73	Facility		$159.11	$365.68	$524.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $399.17	Professional		$282.89	$282.89	$399.17
United Facility/Professional Professional Modifier Low / Median / High Price $205.38 / $296.99 / $353.57	Professional		$205.38	$296.99	$353.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $300.87 / $524.73	Professional		$295.95	$300.87	$524.73