Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.02 / $114.82	Facility		$16.22	$38.02	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $26.92	Professional		$15.14	$19.95	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $45.71 / $112.20	Facility		$17.78	$45.71	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $186.21	Professional		$125.89	$186.21	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $46.77	Facility		$16.60	$25.12	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $31.62	Professional		$15.14	$19.95	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.12 / $61.66	Facility		$15.49	$25.12	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $79.43	Professional		$22.39	$29.51	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.47 / $25.12	Facility		$9.12	$10.47	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $15.14	Professional		$10.47	$11.75	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12