Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $56.53 / $56.53	Facility		$55.15	$56.53	$56.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $56.53 / $58.60	Professional		$55.15	$56.53	$58.60
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 $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $137.88 / $258.52	Facility		$80.00	$137.88	$258.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $261.97 / $261.97 / $310.23	Professional		$261.97	$261.97	$310.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $68.94 / $119.84	Facility		$56.25	$68.94	$119.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $68.94 / $119.84	Facility		$56.53	$68.94	$119.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $68.98	Professional		$68.94	$68.94	$68.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $79.11	Professional		$58.60	$58.60	$79.11