Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $63.10	Facility		$61.66	$61.66	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $81.28	Professional		$57.54	$63.10	$81.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $602.56	Professional		$467.74	$602.56	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $95.50	Facility		$58.88	$69.18	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $100.00	Professional		$58.88	$66.07	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $95.50	Facility		$60.26	$70.79	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $123.03	Professional		$61.66	$85.11	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $91.20	Professional		$61.66	$72.44	$91.20