Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $69.00 / $72.00	Professional		$40.79	$69.00	$72.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $145.05 / $183.00	Professional		$57.00	$145.05	$183.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $162.00 / $162.00	Professional		$128.00	$162.00	$162.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Facility		$5.95	$5.95	$5.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $29.25 / $67.50	Professional		$13.75	$29.25	$67.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Facility		$5.95	$5.95	$5.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $145.05 / $183.00	Professional		$145.05	$145.05	$183.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19