Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $47.51 / $132.05	Facility		$17.89	$47.51	$132.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $19.52 / $32.53	Professional		$15.18	$19.52	$32.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Facility		$27.11	$27.11	$27.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $54.18 / $120.77	Facility		$17.82	$54.18	$120.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $31.39 / $41.30	Professional		$14.37	$31.39	$41.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $128.77 / $128.77	Facility		$50.00	$128.77	$128.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $27.11 / $32.79	Facility		$18.98	$27.11	$32.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $27.11 / $27.11	Professional		$24.40	$27.11	$27.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $27.11 / $46.18	Facility		$18.96	$27.11	$46.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $25.75 / $28.47	Professional		$14.37	$25.75	$28.47
United Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $27.11 / $33.89	Facility		$9.49	$27.11	$33.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $16.27	Professional		$11.39	$11.39	$16.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $27.11 / $45.77	Professional		$10.57	$27.11	$45.77