Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $32.36	Facility		$22.39	$28.84	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $38.90	Professional		$18.20	$28.84	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $79.43	Facility		$45.71	$45.71	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $338.84	Professional		$223.87	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $39.81 / $75.86	Facility		$11.48	$39.81	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $45.71	Professional		$21.88	$28.84	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $64.57	Facility		$19.95	$34.67	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $31.62	Professional		$21.38	$21.38	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $33.88	Facility		$15.85	$29.51	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $30.90	Professional		$15.85	$23.99	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71