Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.32 / $337.81 / $344.31	Facility		$331.32	$337.81	$344.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $344.31 / $502.35	Professional		$307.30	$344.31	$502.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.91 / $741.91 / $741.91	Facility		$741.91	$741.91	$741.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $477.88	Facility		$477.88	$477.88	$477.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $348.85	Professional		$348.85	$348.85	$348.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,084.21 / $3,602.35 / $3,602.35	Facility		$3,084.21	$3,602.35	$3,602.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,708.18 / $3,797.19 / $5,687.93	Professional		$3,708.18	$3,797.19	$5,687.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $506.14 / $741.91	Facility		$183.20	$506.14	$741.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $682.56 / $744.39	Professional		$183.20	$682.56	$744.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $495.73 / $741.91	Facility		$183.20	$495.73	$741.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $618.94	Professional		$348.85	$348.85	$618.94
United Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $341.96 / $407.10	Professional		$236.47	$341.96	$407.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $346.43 / $741.91	Professional		$340.77	$346.43	$741.91