Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $34.90	Facility		$32.32	$32.32	$34.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $34.90 / $64.63	Professional		$32.32	$34.90	$64.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $48.15	Professional		$35.15	$35.15	$48.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.05 / $346.37 / $406.32	Facility		$151.05	$346.37	$406.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.33 / $436.55 / $481.13	Professional		$426.33	$436.55	$481.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $51.43 / $73.81	Facility		$20.66	$51.43	$73.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $66.43 / $73.81	Professional		$20.90	$66.43	$73.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $49.31 / $73.81	Facility		$20.66	$49.31	$73.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $49.59	Professional		$35.15	$35.15	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $39.46 / $48.87	Professional		$26.67	$39.46	$48.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $39.20 / $73.81	Professional		$38.83	$39.20	$73.81