Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $18.20	Facility		$16.98	$16.98	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $26.92	Professional		$15.14	$19.05	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $194.98	Professional		$181.97	$181.97	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $38.90	Facility		$17.38	$22.91	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $25.12	Professional		$15.85	$19.05	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $24.55 / $34.67	Professional		$0.60	$24.55	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $38.02	Facility		$17.38	$22.91	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $79.43	Professional		$21.38	$34.67	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $47.86	Professional		$22.91	$33.88	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $64.57	Professional		$40.74	$40.74	$64.57