Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $141.15	Facility		$130.69	$130.69	$141.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $138.94 / $261.39	Professional		$117.14	$138.94	$261.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.51 / $298.51 / $298.51	Facility		$298.51	$298.51	$298.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.73 / $1,240.94 / $1,240.94	Facility		$1,155.73	$1,240.94	$1,240.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.62 / $1,477.62 / $1,679.10	Professional		$1,477.62	$1,477.62	$1,679.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $208.03 / $298.51	Facility		$72.11	$208.03	$298.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $252.44 / $298.51	Professional		$72.92	$252.44	$298.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $199.46 / $298.51	Facility		$72.11	$199.46	$298.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $169.73	Professional		$116.23	$116.23	$169.73
United Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $137.69 / $170.92	Professional		$93.08	$137.69	$170.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $137.37 / $298.51	Professional		$136.07	$137.37	$298.51