Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $93.33 / $295.12	Facility		$41.69	$93.33	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $70.79	Professional		$38.02	$50.12	$70.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $288.40	Facility		$41.69	$63.10	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $97.72	Professional		$64.57	$77.62	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $125.89	Facility		$42.66	$64.57	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $72.44	Professional		$38.90	$53.70	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $147.91	Facility		$39.81	$64.57	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $79.43	Professional		$48.98	$64.57	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $64.57	Facility		$22.91	$30.20	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $38.90	Professional		$26.92	$26.92	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $64.57	Professional		$6.76	$6.76	$64.57