Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $163.02 / $166.16	Facility		$159.88	$163.02	$166.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $166.16 / $307.20	Professional		$155.81	$166.16	$307.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $358.03 / $358.03 / $358.03	Facility		$358.03	$358.03	$358.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $227.07	Professional		$165.76	$165.76	$227.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $879.23 / $1,873.73 / $2,267.56	Facility		$879.23	$1,873.73	$2,267.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,779.43 / $2,846.12 / $2,846.12	Professional		$2,779.43	$2,846.12	$2,846.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $247.72 / $358.03	Facility		$115.31	$247.72	$358.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $326.45 / $455.22	Professional		$115.31	$326.45	$455.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $239.23 / $358.03	Facility		$115.31	$239.23	$358.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $242.07	Professional		$165.76	$165.76	$242.07
United Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $215.25 / $256.25	Professional		$148.85	$215.25	$256.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $214.50 / $358.03	Professional		$209.66	$214.50	$358.03