Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $142.68 / $142.68	Facility		$139.19	$142.68	$142.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $142.68 / $147.90	Professional		$139.19	$142.68	$147.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $348.00 / $652.50	Facility		$165.30	$348.00	$652.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.20 / $661.20 / $783.00	Professional		$661.20	$661.20	$783.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $174.00 / $302.48	Facility		$141.97	$174.00	$302.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $174.00 / $302.48	Facility		$141.97	$174.00	$302.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $148.05	Professional		$145.00	$145.00	$148.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $143.55 / $193.79	Professional		$143.55	$143.55	$193.79