Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $43.51 / $44.33	Facility		$41.26	$43.51	$44.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $41.26 / $55.04	Professional		$26.37	$41.26	$55.04
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 / $62.09	Professional		$15.38	$19.53	$62.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $124.40 / $128.44	Facility		$85.00	$124.40	$128.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Professional		$248.34	$248.34	$248.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $41.08 / $57.37	Facility		$27.19	$41.08	$57.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $30.04	Professional		$18.37	$18.37	$30.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $45.06 / $63.48	Professional		$38.65	$45.06	$63.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $41.26 / $60.54	Facility		$23.97	$41.26	$60.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $62.09 / $62.97	Professional		$18.37	$62.09	$62.97
United Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $30.20 / $31.82	Facility		$29.48	$30.20	$31.82
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