Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $59.33 / $166.25	Facility		$22.35	$59.33	$166.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $22.35 / $28.78	Professional		$18.96	$22.35	$28.78
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 $21.82 / $79.47 / $179.62	Facility		$21.82	$79.47	$179.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $41.59 / $49.83	Professional		$17.95	$41.59	$49.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $160.84 / $160.84	Facility		$54.18	$160.84	$160.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $169.30 / $253.95	Professional		$169.30	$169.30	$253.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $33.86 / $47.45	Facility		$20.32	$33.86	$47.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $33.86 / $42.33	Professional		$32.17	$33.86	$42.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $58.24 / $118.51	Professional		$33.86	$58.24	$118.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $33.86 / $102.60	Facility		$22.68	$33.86	$102.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $40.63 / $59.26	Professional		$27.09	$40.63	$59.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $20.86	Professional		$14.22	$14.22	$20.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $33.86	Professional		$13.54	$13.54	$33.86