Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $32.36 / $81.28	Facility		$12.88	$32.36	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $19.05	Professional		$8.91	$12.88	$19.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $17.38	Facility		$12.02	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $77.62	Facility		$12.02	$30.90	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $26.30	Professional		$6.61	$7.94	$26.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $17.38 / $32.36	Facility		$12.59	$17.38	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $18.20	Professional		$10.00	$14.13	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $14.45	Professional		$12.88	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $47.86	Facility		$12.30	$17.38	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $22.39	Professional		$6.61	$8.91	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.24 / $17.38	Facility		$6.17	$7.24	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $10.96	Professional		$6.03	$7.24	$10.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $17.38	Professional		$6.76	$6.76	$17.38