Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Professional		$28.36	$28.36	$28.36
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 $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $12.60	Professional		$10.71	$10.71	$12.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $42.71 / $42.71	Professional		$33.22	$42.71	$42.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $59.27	Facility		$28.36	$28.36	$59.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $28.36 / $55.00	Facility		$12.60	$28.36	$55.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $12.60	Professional		$10.71	$10.71	$12.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.25 / $22.08	Professional		$11.04	$13.25	$22.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00