Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $281.84	Professional		$125.89	$239.88	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,778.28	Professional		$1,584.89	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $323.59	Facility		$165.96	$251.19	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $281.84	Professional		$158.49	$245.47	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $323.59	Facility		$162.18	$251.19	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $169.82	Professional		$100.00	$147.91	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $323.59	Professional		$177.83	$323.59	$323.59