Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.24 / $252.24 / $272.41	Facility		$252.24	$252.24	$272.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $272.41 / $504.47	Professional		$250.44	$272.41	$504.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $576.12 / $576.12 / $576.12	Facility		$576.12	$576.12	$576.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $340.42	Professional		$248.51	$248.51	$340.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,588.55 / $2,846.68 / $2,846.68	Facility		$2,588.55	$2,846.68	$2,846.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.72 / $3,033.72 / $3,905.78	Professional		$3,033.72	$3,033.72	$3,905.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $401.51 / $576.12	Facility		$161.69	$401.51	$576.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.52 / $502.03 / $576.12	Professional		$163.52	$502.03	$576.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $384.96 / $576.12	Facility		$161.69	$384.96	$576.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $350.63	Professional		$248.51	$248.51	$350.63
United Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $308.76 / $383.22	Professional		$208.71	$308.76	$383.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $306.70 / $576.12	Professional		$303.77	$306.70	$576.12