Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $524.81	Facility		$69.18	$165.96	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $125.89	Professional		$67.61	$85.11	$125.89
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 Facility Modifier Low / Median / High Price $74.13 / $208.93 / $501.19	Facility		$74.13	$208.93	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $165.96	Professional		$54.95	$141.25	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $851.14	Professional		$575.44	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $229.09	Facility		$85.11	$117.49	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $144.54	Professional		$67.61	$91.20	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $338.84	Facility		$81.28	$120.23	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $165.96	Professional		$67.61	$114.82	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $114.82	Facility		$40.74	$47.86	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $79.43	Professional		$47.86	$47.86	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $114.82	Professional		$44.67	$44.67	$114.82