Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $71.87 / $83.63	Facility		$60.96	$71.87	$83.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $72.84 / $92.01	Professional		$36.43	$72.84	$92.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $72.63 / $76.00	Facility		$69.69	$72.63	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $80.23 / $122.05	Professional		$52.52	$80.23	$122.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $345.79 / $418.29	Facility		$146.51	$345.79	$418.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $503.43 / $503.43 / $644.92	Professional		$503.43	$503.43	$644.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $78.59 / $107.26	Facility		$69.04	$78.59	$107.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $112.84 / $147.50	Professional		$73.75	$112.84	$147.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $78.59 / $107.26	Facility		$69.03	$78.59	$107.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $81.66 / $147.04	Professional		$59.18	$81.66	$147.04
United Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $101.85 / $124.41	Facility		$78.84	$101.85	$124.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $52.93 / $84.78	Professional		$30.82	$52.93	$84.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $69.69 / $97.57	Professional		$62.94	$69.69	$97.57