Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $27.60 / $28.60	Facility		$26.12	$27.60	$28.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.13 / $40.53	Professional		$24.11	$28.13	$40.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $49.68	Professional		$36.27	$36.27	$49.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.04 / $278.87 / $278.87	Facility		$269.04	$278.87	$278.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $356.91 / $371.18 / $429.98	Professional		$356.91	$371.18	$429.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $46.46 / $84.76	Facility		$25.22	$46.46	$84.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $25.22 / $46.46	Professional		$21.74	$25.22	$46.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $46.46 / $81.18	Facility		$25.22	$46.46	$81.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $49.68	Professional		$36.27	$36.27	$49.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $32.67 / $61.32	Professional		$27.43	$32.67	$61.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $49.79 / $49.79	Professional		$49.79	$49.79	$49.79