Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.96	Facility		$10.00	$10.00	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $16.98	Professional		$7.94	$10.96	$16.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $79.43	Facility		$25.12	$25.12	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.30	Professional		$8.91	$8.91	$12.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $138.04	Professional		$120.23	$138.04	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.20 / $28.84	Facility		$9.77	$18.20	$28.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $21.38	Professional		$8.91	$10.96	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $20.89	Professional		$18.20	$18.20	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $17.78 / $30.20	Facility		$9.55	$17.78	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.30	Professional		$8.91	$8.91	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.12 / $21.38	Facility		$6.17	$9.12	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $13.18	Professional		$7.59	$10.96	$13.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12