Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Facility		$263.03	$263.03	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Professional		$239.88	$281.84	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $602.56 / $602.56	Facility		$79.43	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $4,786.30	Professional		$3,311.31	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $758.58	Facility		$257.04	$467.74	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $562.34	Professional		$251.19	$295.12	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Professional		$331.13	$331.13	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $446.68 / $794.33	Facility		$257.04	$446.68	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $602.56	Facility		$162.18	$257.04	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $371.54	Professional		$213.80	$316.23	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56