Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $41.02 / $113.80	Facility		$16.62	$41.02	$113.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $16.48 / $26.39	Professional		$13.19	$16.48	$26.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $25.33	Facility		$21.99	$21.99	$25.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $48.30 / $111.06	Facility		$15.36	$48.30	$111.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $16.07 / $37.20	Professional		$11.65	$16.07	$37.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $200.11 / $200.11	Facility		$157.38	$200.11	$200.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $21.99 / $28.59	Facility		$17.59	$21.99	$28.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $21.99 / $28.65	Professional		$19.79	$21.99	$28.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $21.99 / $55.15	Facility		$17.59	$21.99	$55.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $16.93 / $31.76	Professional		$11.65	$16.93	$31.76
United Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $16.23 / $27.49	Facility		$7.70	$16.23	$27.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $12.69 / $18.89	Professional		$9.24	$12.69	$18.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $10.86 / $21.99	Professional		$8.58	$10.86	$21.99