Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $59.08 / $78.20	Facility		$52.72	$59.08	$78.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $57.99 / $78.20	Professional		$42.79	$57.99	$78.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $89.78 / $89.78	Facility		$89.78	$89.78	$89.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $65.00	Professional		$55.25	$55.25	$65.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $425.46 / $425.46	Facility		$148.83	$425.46	$425.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $482.72 / $489.33 / $619.65	Professional		$482.72	$489.33	$619.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $81.58 / $109.48	Facility		$50.85	$81.58	$109.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $82.60 / $89.78	Professional		$60.16	$82.60	$89.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $187.20 / $236.60	Professional		$154.00	$187.20	$236.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $78.20 / $96.16	Facility		$52.72	$78.20	$96.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $91.27	Professional		$55.25	$55.25	$91.27
United Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $55.52 / $92.54	Professional		$37.97	$55.52	$92.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $89.78 / $121.20	Professional		$53.49	$89.78	$121.20