Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $37.40 / $98.45	Facility		$14.92	$37.40	$98.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.84 / $31.04	Professional		$11.23	$14.84	$31.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $80.00	Facility		$20.05	$20.05	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $45.84 / $105.96	Facility		$22.97	$45.84	$105.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.92 / $44.18	Professional		$11.41	$14.92	$44.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $95.52 / $95.52	Facility		$52.12	$95.52	$95.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $180.90	Professional		$180.90	$180.90	$180.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $27.07 / $50.26	Facility		$15.64	$27.07	$50.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $27.81	Professional		$20.05	$20.05	$27.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.05 / $36.49	Professional		$19.05	$22.05	$36.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $32.22 / $73.23	Facility		$16.46	$32.22	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $19.88 / $38.99	Professional		$11.65	$19.88	$38.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.77 / $17.23	Professional		$8.42	$11.77	$17.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $20.05	Professional		$9.90	$9.90	$20.05