Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $40.90 / $107.63	Facility		$16.30	$40.90	$107.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $15.35 / $31.04	Professional		$12.28	$15.35	$31.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $80.00	Facility		$21.92	$21.92	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $47.88 / $115.34	Facility		$22.97	$47.88	$115.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.92 / $44.18	Professional		$11.41	$14.92	$44.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.12 / $188.00	Facility		$53.70	$104.12	$188.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $180.90	Professional		$180.90	$180.90	$180.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $29.82 / $50.26	Facility		$17.55	$29.82	$50.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $27.81	Professional		$21.92	$21.92	$27.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $32.28 / $80.09	Facility		$17.86	$32.28	$80.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $20.93 / $40.99	Professional		$11.65	$20.93	$40.99
United Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $9.21 / $21.92	Facility		$7.89	$9.21	$21.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.77 / $17.04	Professional		$9.21	$11.77	$17.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.35 / $21.92	Professional		$9.90	$11.35	$21.92