Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $75.77 / $86.33	Facility		$60.67	$75.77	$86.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $95.17 / $117.85	Professional		$68.98	$95.17	$117.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $101.30 / $101.30	Facility		$101.30	$101.30	$101.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $529.32 / $529.32	Facility		$175.75	$529.32	$529.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.36 / $661.36 / $852.30	Professional		$661.36	$661.36	$852.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $100.50 / $135.54	Facility		$74.45	$100.50	$135.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $130.78 / $181.08	Professional		$110.66	$130.78	$181.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $100.08 / $135.54	Facility		$72.65	$100.08	$135.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $94.39	Professional		$92.55	$92.55	$94.39
United Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $112.93 / $167.31	Professional		$82.44	$112.93	$167.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $98.22 / $136.28	Professional		$85.86	$98.22	$136.28