Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $224.92 / $242.91	Facility		$224.92	$224.92	$242.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $242.91 / $449.83	Professional		$206.92	$242.91	$449.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $513.72 / $513.72 / $513.72	Facility		$513.72	$513.72	$513.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $279.26	Professional		$203.86	$203.86	$279.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.08 / $2,318.80 / $2,733.96	Facility		$1,068.08	$2,318.80	$2,733.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,376.71 / $3,457.76 / $3,457.76	Professional		$3,376.71	$3,457.76	$3,457.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $358.01 / $513.72	Facility		$139.03	$358.01	$513.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $462.35 / $546.10	Professional		$140.60	$462.35	$546.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $343.25 / $513.72	Facility		$139.03	$343.25	$513.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $287.64	Professional		$203.86	$203.86	$287.64
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $265.49 / $329.56	Professional		$179.47	$265.49	$329.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $269.00 / $513.72	Professional		$261.22	$269.00	$513.72