Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.70 / $18.70	Facility		$18.23	$18.70	$18.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.70 / $19.38	Professional		$18.23	$18.70	$19.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $102.60	Professional		$86.64	$86.64	$102.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $19.38 / $51.77	Facility		$18.23	$19.38	$51.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $19.38 / $51.77	Facility		$18.23	$19.38	$51.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $25.65	Professional		$19.00	$19.00	$25.65