Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.48 / $429.48 / $429.48	Facility		$429.48	$429.48	$429.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.02 / $429.48 / $441.16	Professional		$406.02	$429.48	$441.16
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $458.99	Facility		$100.00	$100.00	$458.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.33 / $429.48 / $908.76	Facility		$410.33	$429.48	$908.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.33 / $429.48 / $908.76	Facility		$410.33	$429.48	$908.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $26.95	Professional		$19.25	$19.25	$26.95