Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $50.16 / $127.80	Facility		$20.32	$50.16	$127.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $19.89 / $32.27	Professional		$15.06	$19.89	$32.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $26.89 / $26.89	Facility		$19.80	$26.89	$26.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $44.40 / $118.48	Facility		$18.41	$44.40	$118.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.80 / $40.79	Professional		$11.49	$13.80	$40.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $127.73 / $127.73	Facility		$55.00	$127.73	$127.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $26.89 / $31.98	Facility		$19.57	$26.89	$31.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $26.89 / $26.89	Professional		$22.86	$26.89	$26.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $26.89 / $61.62	Facility		$19.57	$26.89	$61.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $14.41 / $26.89	Professional		$11.49	$14.41	$26.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $11.29 / $16.13	Professional		$9.84	$11.29	$16.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.76 / $26.89	Professional		$10.49	$10.76	$26.89