Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $97.20 / $272.70	Facility		$38.88	$97.20	$272.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $41.10 / $66.65	Professional		$31.10	$41.10	$66.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $55.54 / $55.54	Facility		$55.54	$55.54	$55.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $121.30 / $247.63	Facility		$38.79	$121.30	$247.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $38.17 / $84.25	Professional		$28.11	$38.17	$84.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $263.82 / $263.82	Facility		$90.10	$263.82	$263.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $55.54 / $61.09	Facility		$41.66	$55.54	$61.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $55.54 / $55.54	Professional		$52.58	$55.54	$55.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $55.54 / $153.35	Facility		$41.66	$55.54	$153.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $49.99 / $58.32	Professional		$28.34	$49.99	$58.32
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $23.33 / $36.10	Professional		$23.33	$23.33	$36.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $22.22 / $55.54	Professional		$21.66	$22.22	$55.54