Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $45.18 / $129.94	Facility		$19.07	$45.18	$129.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.07 / $23.85	Professional		$15.56	$19.07	$23.85
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 Facility Modifier Low / Median / High Price $17.80 / $57.32 / $111.72	Facility		$17.80	$57.32	$111.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Professional		$30.12	$30.12	$30.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $119.23 / $119.23	Facility		$43.67	$119.23	$119.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $188.25	Professional		$125.50	$125.50	$188.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $26.56 / $34.69	Facility		$16.82	$26.56	$34.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $25.10 / $31.38	Professional		$23.85	$25.10	$31.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $30.12 / $69.33	Facility		$17.57	$30.12	$69.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $29.38 / $34.81	Professional		$23.84	$29.38	$34.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.70 / $15.29	Professional		$10.54	$11.70	$15.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $35.14 / $52.84	Professional		$25.10	$35.14	$52.84