Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $54.54 / $61.87	Facility		$43.37	$54.54	$61.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $68.39 / $84.23	Professional		$49.16	$68.39	$84.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $73.53 / $73.53	Facility		$73.53	$73.53	$73.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.28 / $368.27 / $368.27	Facility		$123.28	$368.27	$368.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $472.57 / $596.25	Professional		$472.57	$472.57	$596.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $71.80 / $98.54	Facility		$54.54	$71.80	$98.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $92.94 / $128.68	Professional		$78.64	$92.94	$128.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.30 / $71.72 / $98.54	Facility		$52.30	$71.72	$98.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $67.38	Professional		$65.77	$65.77	$67.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $83.31 / $122.64	Professional		$60.90	$83.31	$122.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $70.23 / $97.05	Professional		$61.01	$70.23	$97.05