Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.95 / $41.69	Facility		$19.50	$19.95	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.91	Professional		$19.05	$19.05	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $81.28	Professional		$30.20	$30.20	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $41.69	Facility		$19.50	$23.99	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $23.99	Professional		$17.38	$17.38	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55