Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $43.65 / $123.03	Facility		$17.78	$43.65	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $28.84	Professional		$15.85	$20.89	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $48.98 / $120.23	Facility		$17.78	$48.98	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $41.69	Professional		$14.45	$31.62	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $50.12	Facility		$19.95	$26.92	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $32.36	Professional		$15.85	$21.88	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $66.07	Facility		$17.78	$26.92	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.70 / $51.29	Professional		$14.45	$25.70	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.88 / $26.92	Facility		$9.77	$12.88	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $16.22	Professional		$11.48	$11.48	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $26.92	Professional		$10.47	$10.47	$26.92