Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $72.95 / $288.94	Facility		$36.47	$72.95	$288.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $44.99 / $72.95	Professional		$34.04	$44.99	$72.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $60.80 / $60.80	Facility		$13.81	$60.80	$60.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $60.83 / $244.63	Facility		$14.34	$60.83	$244.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $30.76 / $88.00	Professional		$8.02	$30.76	$88.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $288.80 / $288.80	Facility		$97.28	$288.80	$288.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $60.80 / $65.20	Facility		$24.48	$60.80	$65.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $60.80 / $60.80	Professional		$16.64	$60.80	$60.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $60.80 / $103.54	Facility		$16.76	$60.80	$103.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $15.50 / $60.80	Professional		$8.02	$15.50	$60.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $25.54 / $36.47	Professional		$6.87	$25.54	$36.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $24.32 / $60.80	Professional		$23.71	$24.32	$60.80