Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.94 / $220.18 / $224.41	Facility		$215.94	$220.18	$224.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.48 / $224.41 / $402.68	Professional		$207.48	$224.41	$402.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $483.56 / $483.56 / $483.56	Facility		$483.56	$483.56	$483.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.94 / $2,469.31 / $2,912.51	Facility		$1,065.94	$2,469.31	$2,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,369.92 / $3,450.78 / $4,077.98	Professional		$3,369.92	$3,450.78	$4,077.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $336.99 / $483.56	Facility		$148.11	$336.99	$483.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $435.20 / $613.16	Professional		$148.11	$435.20	$613.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $336.99 / $483.56	Facility		$148.11	$336.99	$483.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $363.13	Professional		$257.36	$257.36	$363.13
United Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $276.47 / $329.14	Professional		$191.19	$276.47	$329.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $280.08 / $483.56	Professional		$275.51	$280.08	$483.56