Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $157.63 / $170.25	Facility		$157.63	$157.63	$170.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $170.25 / $315.27	Professional		$157.63	$170.25	$315.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $360.05 / $360.05 / $360.05	Facility		$360.05	$360.05	$360.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $231.66	Professional		$169.11	$169.11	$231.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $601.61 / $1,667.62 / $1,667.62	Facility		$601.61	$1,667.62	$1,667.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.01 / $1,803.01 / $2,621.48	Professional		$1,803.01	$1,803.01	$2,621.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $270.30 / $360.05	Facility		$103.04	$270.30	$360.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $324.05 / $360.05	Professional		$104.20	$324.05	$360.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $240.58 / $360.05	Facility		$103.04	$240.58	$360.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $246.96	Professional		$169.11	$169.11	$246.96
United Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $196.76 / $240.58	Professional		$133.01	$196.76	$240.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $195.45 / $360.05	Professional		$193.59	$195.45	$360.05