Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $29.40 / $79.84	Facility		$12.43	$29.40	$79.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $12.43 / $20.16	Professional		$9.41	$12.43	$20.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $16.80 / $16.80	Facility		$6.65	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $30.36 / $72.17	Facility		$11.74	$30.36	$72.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $9.59 / $26.08	Professional		$8.34	$9.59	$26.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $79.80 / $100.00	Facility		$55.00	$79.80	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $16.80 / $20.03	Facility		$11.76	$16.80	$20.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $16.80 / $16.80	Professional		$8.00	$16.80	$16.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $16.80 / $38.72	Facility		$11.41	$16.80	$38.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $8.84 / $16.80	Professional		$4.92	$8.84	$16.80
United Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $7.06 / $16.80	Facility		$6.05	$7.06	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.42 / $14.35	Professional		$7.06	$7.42	$14.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.30 / $16.80	Professional		$6.55	$8.30	$16.80