Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.02 / $38.02	Facility		$37.15	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $52.48	Professional		$33.11	$38.02	$52.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $48.98	Facility		$42.66	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $407.38	Professional		$288.40	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $56.23	Facility		$32.36	$42.66	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $66.07	Professional		$33.11	$38.02	$66.07
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 $35.48 / $43.65 / $58.88	Facility		$35.48	$43.65	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $69.18	Professional		$35.48	$47.86	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $60.26	Professional		$39.81	$51.29	$60.26