Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $38.79 / $44.13	Facility		$30.88	$38.79	$44.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $46.69 / $58.76	Professional		$35.18	$46.69	$58.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $240.95 / $240.95	Facility		$85.19	$240.95	$240.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $336.96 / $336.96 / $390.45	Professional		$336.96	$336.96	$390.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $48.33 / $69.48	Facility		$38.44	$48.33	$69.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $60.97 / $84.42	Professional		$51.59	$60.97	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $48.27 / $69.48	Facility		$37.19	$48.27	$69.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $46.09	Professional		$43.15	$43.15	$46.09
United Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $58.04 / $85.73	Professional		$42.21	$58.04	$85.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $46.09 / $63.71	Professional		$40.03	$46.09	$63.71