Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $25.75 / $26.24	Facility		$24.43	$25.75	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.43 / $28.21	Professional		$17.71	$24.43	$28.21
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 $33.01 / $33.49 / $43.04	Facility		$33.01	$33.49	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $128.71 / $128.71	Professional		$128.71	$128.71	$128.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $82.90 / $124.40	Facility		$55.22	$82.90	$124.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $193.04 / $201.60	Professional		$173.04	$193.04	$201.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $24.07 / $47.12	Facility		$17.71	$24.07	$47.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $18.34 / $22.41	Professional		$18.34	$18.34	$22.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $44.70 / $76.44	Professional		$42.48	$44.70	$76.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $24.76 / $51.69	Facility		$18.80	$24.76	$51.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $29.77 / $40.50	Professional		$22.41	$29.77	$40.50
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,000.00 / $8,792.00	Facility		$350.00	$2,000.00	$8,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $25.05 / $40.02	Professional		$18.68	$25.05	$40.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $25.68 / $30.00	Professional		$18.34	$25.68	$30.00