Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $288.40	Facility		$36.31	$72.44	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $45.71 / $67.61	Professional		$10.00	$45.71	$67.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $60.26 / $60.26	Facility		$13.80	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $56.23 / $257.04	Facility		$14.79	$56.23	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $87.10	Professional		$7.76	$10.00	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $107.15	Facility		$30.20	$57.54	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $48.98 / $64.57	Professional		$15.49	$48.98	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $51.29	Professional		$45.71	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $60.26 / $138.04	Facility		$17.78	$60.26	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $74.13	Professional		$7.76	$17.38	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $21.88 / $60.26	Facility		$8.32	$21.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.78 / $36.31	Professional		$6.92	$17.78	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $60.26	Professional		$23.44	$23.44	$60.26