Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $51.89 / $52.88	Facility		$50.89	$51.89	$52.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $52.88 / $91.07	Professional		$50.68	$52.88	$91.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $113.95 / $113.95	Facility		$113.95	$113.95	$113.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $84.33	Facility		$84.33	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $84.33	Professional		$61.56	$61.56	$84.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.85 / $618.45 / $618.45	Facility		$593.85	$618.45	$618.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $667.95 / $873.45	Professional		$667.95	$667.95	$873.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $79.41 / $113.95	Facility		$36.70	$79.41	$113.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $103.93 / $134.94	Professional		$36.70	$103.93	$134.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $79.41 / $113.95	Facility		$36.70	$79.41	$113.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $86.86	Professional		$61.56	$61.56	$86.86
United Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $68.50 / $81.56	Professional		$47.38	$68.50	$81.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $69.41 / $113.95	Professional		$68.27	$69.41	$113.95