Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.96 / $24.42	Facility		$23.50	$23.96	$24.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $24.42 / $38.68	Professional		$22.11	$24.42	$38.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $52.61 / $52.61	Facility		$52.61	$52.61	$52.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Professional		$21.64	$21.64	$21.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $237.18 / $283.39	Facility		$145.94	$237.18	$283.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $461.43 / $472.50 / $472.50	Professional		$461.43	$472.50	$472.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $36.40 / $52.61	Facility		$14.41	$36.40	$52.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $48.40 / $55.38	Professional		$14.41	$48.40	$55.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $35.15 / $52.61	Facility		$14.41	$35.15	$52.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $46.05	Professional		$21.64	$21.64	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $26.90 / $32.02	Professional		$18.60	$26.90	$32.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.81 / $52.61	Professional		$26.20	$26.81	$52.61