Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.04 / $168.27 / $171.51	Facility		$165.04	$168.27	$171.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.83 / $171.51 / $278.30	Professional		$160.83	$171.51	$278.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $369.55 / $369.55 / $369.55	Facility		$369.55	$369.55	$369.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $940.67 / $1,940.98 / $2,340.52	Facility		$940.67	$1,940.98	$2,340.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,973.74 / $3,045.11 / $3,045.11	Professional		$2,973.74	$3,045.11	$3,045.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $255.69 / $369.55	Facility		$119.03	$255.69	$369.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $339.99 / $372.80	Professional		$119.03	$339.99	$372.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.03 / $246.93 / $369.55	Facility		$119.03	$246.93	$369.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $237.85	Professional		$168.57	$168.57	$237.85
United Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $219.31 / $264.50	Professional		$153.63	$219.31	$264.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $225.09 / $369.55	Professional		$221.41	$225.09	$369.55