Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $125.89 / $154.88	Facility	26	$89.13	$125.89	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $331.13	Professional	26	$89.13	$125.89	$331.13
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $93.33	Professional	26	$85.11	$85.11	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $194.98	Professional	26	$75.86	$114.82	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,202.26 / $1,202.26 / $1,513.56	Professional	26	$1,202.26	$1,202.26	$1,513.56
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $154.88	Facility	26	$125.89	$125.89	$154.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $154.88 / $354.81	Professional	26	$100.00	$154.88	$354.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $181.97	Professional	26	$75.86	$112.20	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $151.36	Professional	26	$66.07	$83.18	$151.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $89.13	Professional	26	$87.10	$87.10	$89.13