Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $127.91 / $333.96	Facility		$51.00	$127.91	$333.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $47.99 / $82.26	Professional		$38.39	$47.99	$82.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $80.00	Facility		$68.55	$68.55	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $150.61 / $302.99	Facility		$41.11	$150.61	$302.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $54.44 / $113.16	Professional		$31.37	$54.44	$113.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $325.61 / $325.61	Facility		$118.53	$325.61	$325.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.75 / $342.75 / $514.13	Professional		$342.75	$342.75	$514.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $68.55 / $102.83	Facility		$41.82	$68.55	$102.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $85.69	Professional		$68.55	$68.55	$85.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $82.26 / $154.24	Professional		$44.56	$82.26	$154.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $74.50 / $250.21	Facility		$43.17	$74.50	$250.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $78.83 / $113.16	Professional		$32.86	$78.83	$113.16
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $28.79 / $56.72	Professional		$25.01	$28.79	$56.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $68.55 / $92.54	Professional		$26.73	$68.55	$92.54