Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $67.61 / $213.80	Facility		$30.90	$67.61	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $52.48	Professional		$28.18	$34.67	$52.48
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 $30.90 / $67.61 / $208.93	Facility		$30.90	$67.61	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $354.81	Professional		$234.42	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $87.10	Facility		$35.48	$47.86	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $58.88	Professional		$28.18	$37.15	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $100.00	Professional		$46.77	$51.29	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $128.82	Facility		$33.11	$46.77	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $83.18	Professional		$44.67	$58.88	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $46.77	Facility		$16.98	$19.95	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $32.36	Professional		$19.95	$19.95	$32.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $53.70	Professional		$46.77	$46.77	$53.70