Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.29 / $175.29 / $189.31	Facility		$175.29	$175.29	$189.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.29 / $189.31 / $350.58	Professional		$175.29	$189.31	$350.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $400.37 / $400.37 / $400.37	Facility		$400.37	$400.37	$400.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $277.45	Professional		$202.54	$202.54	$277.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $856.56 / $1,976.32 / $2,177.31	Facility		$856.56	$1,976.32	$2,177.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.21 / $2,200.21 / $2,911.43	Professional		$2,200.21	$2,200.21	$2,911.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.64 / $320.30 / $421.95	Facility		$213.64	$320.30	$421.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $360.33 / $400.37	Professional		$277.33	$360.33	$400.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.44 / $289.23 / $400.37	Facility		$225.44	$289.23	$400.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $315.48	Professional		$202.54	$202.54	$315.48
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $232.88 / $307.32	Professional		$157.43	$232.88	$307.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $258.69 / $400.37	Professional		$250.17	$258.69	$400.37