Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $512.86 / $1,621.81	Facility		$234.42	$512.86	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $263.03 / $346.74	Professional		$3.98	$263.03	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $1,584.89	Facility		$251.19	$407.38	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $549.54	Professional		$363.08	$436.52	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $660.69	Facility		$213.80	$354.81	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $295.12 / $389.05	Professional		$3.98	$295.12	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $831.76	Facility		$218.78	$354.81	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $380.19	Professional		$190.55	$338.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $354.81	Facility		$128.82	$169.82	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $354.81	Professional		$151.36	$151.36	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $354.81	Professional		$3.39	$3.39	$354.81