Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $61.87 / $63.08	Facility		$59.77	$61.87	$63.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $63.08 / $81.14	Professional		$59.36	$63.08	$81.14
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 $59.77 / $69.33 / $93.02	Facility		$59.77	$69.33	$93.02
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 $59.77 / $69.22 / $92.42	Facility		$59.77	$69.22	$92.42
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 $60.75 / $81.83 / $121.51	Professional		$60.75	$81.83	$121.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $70.23 / $97.05	Professional		$61.01	$70.23	$97.05