Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.89 / $284.89 / $307.68	Facility		$284.89	$284.89	$307.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $307.68 / $569.78	Professional		$284.89	$307.68	$569.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $650.70 / $650.70 / $650.70	Facility		$650.70	$650.70	$650.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $468.67	Professional		$342.13	$342.13	$468.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.69 / $3,286.44 / $3,969.20	Facility		$1,470.69	$3,286.44	$3,969.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.98 / $4,062.83 / $5,115.60	Professional		$4,010.98	$4,062.83	$5,115.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $464.38 / $650.70	Facility		$201.85	$464.38	$650.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.13 / $585.63 / $739.31	Professional		$204.13	$585.63	$739.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $465.73 / $650.70	Facility		$201.85	$465.73	$650.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $493.89	Professional		$342.13	$342.13	$493.89
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $385.44 / $478.46	Professional		$260.55	$385.44	$478.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.23 / $382.88 / $650.70	Professional		$379.23	$382.88	$650.70