Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.48 / $58.60 / $59.73	Facility		$57.48	$58.60	$59.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $59.73 / $93.33	Professional		$52.34	$59.73	$93.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.71 / $128.71 / $128.71	Facility		$128.71	$128.71	$128.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $538.29 / $589.04 / $589.04	Facility		$538.29	$589.04	$589.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $670.92 / $670.92 / $908.10	Professional		$670.92	$670.92	$908.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $87.03 / $128.71	Facility		$32.76	$87.03	$128.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $109.40 / $135.54	Professional		$32.76	$109.40	$135.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $86.01 / $128.71	Facility		$32.76	$86.01	$128.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $71.13	Professional		$48.71	$48.71	$71.13
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $61.16 / $72.81	Professional		$42.30	$61.16	$72.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $61.97 / $128.71	Professional		$60.95	$61.97	$128.71