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 $58.88 / $66.07 / $83.18	Professional		$58.88	$66.07	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $109.65	Facility		$64.57	$64.57	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $891.25	Professional		$575.44	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $123.03	Facility		$60.26	$72.44	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $144.54	Professional		$58.88	$72.44	$144.54
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 / $72.44 / $117.49	Facility		$60.26	$72.44	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $117.49	Professional		$60.26	$81.28	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $134.90	Professional		$63.10	$107.15	$134.90