Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.52 / $20.52	Facility		$20.02	$20.52	$20.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.52 / $21.27	Professional		$20.02	$20.52	$21.27
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 $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $93.83 / $100.00	Facility		$90.00	$93.83	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $95.08 / $95.08	Professional		$55.04	$95.08	$95.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.02 / $43.50	Facility		$20.42	$25.02	$43.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $25.02 / $43.50	Facility		$20.52	$25.02	$43.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $28.71	Professional		$21.27	$21.27	$28.71