Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $95.47 / $301.52	Facility		$39.78	$95.47	$301.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $23.56 / $40.34	Professional		$9.23	$23.56	$40.34
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 $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Professional		$48.34	$48.34	$48.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $70.00 / $70.00	Facility		$21.92	$70.00	$70.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $25.32 / $66.03	Facility		$9.57	$25.32	$66.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $9.65	Professional		$9.65	$9.65	$9.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $25.32 / $79.95	Facility		$9.59	$25.32	$79.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $28.02 / $51.64	Professional		$9.65	$28.02	$51.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.74 / $16.55	Professional		$7.47	$9.74	$16.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $43.23	Professional		$32.02	$32.02	$43.23