Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $22.89 / $23.72	Facility		$22.09	$22.89	$23.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $22.89 / $31.40	Professional		$21.10	$22.89	$31.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $23.35 / $50.42	Facility		$23.35	$23.35	$50.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $142.59 / $142.59	Facility		$142.59	$142.59	$142.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $258.62 / $412.80	Professional		$156.33	$258.62	$412.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $27.54 / $51.28	Facility		$22.09	$27.54	$51.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $52.66 / $78.98	Professional		$29.54	$52.66	$78.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $27.52 / $50.92	Facility		$22.09	$27.52	$50.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $27.67 / $42.86	Professional		$19.76	$27.67	$42.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $46.08 / $64.88	Professional		$40.86	$46.08	$64.88