Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $39.35 / $40.49	Facility		$38.04	$39.35	$40.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $40.49 / $54.88	Professional		$38.04	$40.49	$54.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $40.67 / $73.16	Facility		$40.67	$40.67	$73.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Facility		$236.62	$236.62	$236.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $391.64 / $596.54	Professional		$272.02	$391.64	$596.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $47.90 / $74.90	Facility		$38.04	$47.90	$74.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $80.34 / $115.29	Professional		$49.82	$80.34	$115.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $47.90 / $74.76	Facility		$38.04	$47.90	$74.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
United Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $54.12 / $79.09	Professional		$40.40	$54.12	$79.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $67.66 / $94.74	Professional		$59.63	$67.66	$94.74