Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $29.28 / $33.24	Facility		$22.55	$29.28	$33.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $29.68 / $39.57	Professional		$22.55	$29.68	$39.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Facility		$45.26	$45.26	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $28.50	Professional		$20.81	$20.81	$28.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $214.99 / $214.99	Facility		$211.82	$214.99	$214.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $225.39 / $339.45	Professional		$225.39	$225.39	$339.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $31.68 / $45.26	Facility		$11.45	$31.68	$45.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $40.72 / $45.26	Professional		$27.70	$40.72	$45.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $29.68 / $45.26	Facility		$11.45	$29.68	$45.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $35.53	Professional		$20.81	$20.81	$35.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $24.14 / $30.48	Professional		$15.99	$24.14	$30.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.87 / $45.26	Professional		$27.58	$27.87	$45.26