Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $28.84	Professional		$15.85	$18.20	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Facility		$38.90	$38.90	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $281.84	Professional		$194.98	$281.84	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $48.98	Facility		$16.98	$32.36	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $38.02	Professional		$16.98	$19.05	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $26.30	Professional		$22.91	$22.91	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $52.48	Facility		$17.38	$30.20	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.98 / $39.81	Facility		$10.72	$16.98	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $24.55	Professional		$14.13	$20.42	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90