Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $242.93 / $279.58	Professional		$135.38	$242.93	$279.58
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 Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $466.15 / $486.10 / $1,516.58	Facility		$466.15	$486.10	$1,516.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.44 / $1,580.44 / $1,795.95	Professional		$1,580.44	$1,580.44	$1,795.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $258.32 / $319.27	Facility		$192.00	$258.32	$319.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $303.32 / $303.32	Professional		$271.39	$303.32	$303.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $263.93 / $319.27	Facility		$192.00	$263.93	$319.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $266.01	Professional		$114.94	$114.94	$266.01
United Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $147.27 / $171.39	Professional		$99.56	$147.27	$171.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $319.27 / $431.03	Professional		$197.76	$319.27	$431.03