Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $82.34 / $228.97	Facility		$28.20	$82.34	$228.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.02 / $39.95	Professional		$26.32	$31.02	$39.95
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 $30.55 / $110.31 / $209.88	Facility		$30.55	$110.31	$209.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.35 / $68.70	Professional		$57.35	$57.35	$68.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $223.25 / $223.25	Facility		$75.20	$223.25	$223.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.06 / $234.06 / $352.50	Professional		$234.06	$234.06	$352.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $47.00 / $68.94	Facility		$28.20	$47.00	$68.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $58.75	Professional		$47.00	$47.00	$58.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $58.75 / $105.75	Professional		$42.30	$58.75	$105.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $48.39 / $169.50	Facility		$31.47	$48.39	$169.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $56.87 / $82.25	Professional		$44.32	$56.87	$82.25
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $30.08	Professional		$19.73	$19.73	$30.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $53.43 / $54.80	Professional		$47.00	$53.43	$54.80