Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $340.50 / $395.93	Professional		$190.76	$340.50	$395.93
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 $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $710.87 / $741.30 / $1,957.92	Facility		$710.87	$741.30	$1,957.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.76 / $2,424.76 / $2,781.83	Professional		$2,424.76	$2,424.76	$2,781.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $365.17 / $452.17	Facility		$271.93	$365.17	$452.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $462.56 / $462.56	Professional		$429.56	$462.56	$462.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $365.17 / $452.17	Facility		$271.93	$365.17	$452.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $364.82	Professional		$175.28	$175.28	$364.82
United Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $224.59 / $261.36	Professional		$151.82	$224.59	$261.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $452.17 / $610.42	Professional		$301.58	$452.17	$610.42