Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $48.98 / $48.98	Facility		$47.86	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $48.98	Professional		$28.84	$39.81	$48.98
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 $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $61.66	Professional		$15.49	$19.05	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $331.13	Professional		$281.84	$331.13	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $75.86	Facility		$30.20	$42.66	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $48.98	Professional		$28.84	$38.90	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Professional		$131.83	$151.36	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $70.79	Facility		$30.20	$42.66	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $61.66	Professional		$35.48	$35.48	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $58.88 / $77.62	Facility		$31.62	$58.88	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $87.10	Professional		$38.90	$53.70	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $41.69	Professional		$32.36	$32.36	$41.69