Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $48.48 / $49.32	Facility		$45.97	$48.48	$49.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $39.79 / $49.16	Professional		$30.33	$39.79	$49.16
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 $23.19 / $23.19 / $23.19	Facility		$23.19	$23.19	$23.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $19.53 / $68.88	Professional		$15.38	$19.53	$68.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $204.49 / $204.49	Facility		$85.00	$204.49	$204.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $280.19 / $329.25	Professional		$280.19	$280.19	$329.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $41.22 / $62.96	Facility		$30.04	$41.22	$62.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $30.04 / $34.54	Professional		$30.04	$30.04	$34.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $44.73 / $62.88	Professional		$38.39	$44.73	$62.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $43.22 / $69.33	Facility		$30.33	$43.22	$69.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $62.97 / $68.88	Professional		$34.54	$62.97	$68.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $54.27 / $87.87	Professional		$38.77	$54.27	$87.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $37.54 / $42.98	Professional		$30.04	$37.54	$42.98