Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $29.68 / $192.00	Professional		$22.71	$29.68	$192.00
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 Professional Modifier Low / Median / High Price $34.09 / $37.46 / $42.12	Professional		$34.09	$37.46	$42.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $133.19 / $152.57	Facility		$85.00	$133.19	$152.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $188.42 / $245.63	Professional		$188.42	$188.42	$245.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $29.10 / $144.00	Facility		$21.84	$29.10	$144.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $29.68 / $144.00	Facility		$23.10	$29.68	$144.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $42.12 / $61.60	Professional		$39.86	$42.12	$61.60
United Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $28.91 / $47.81	Professional		$23.90	$28.91	$47.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $24.90 / $35.09	Professional		$23.77	$24.90	$35.09