Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $396.00	Facility		$30.54	$30.54	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Professional		$30.54	$30.54	$42.00
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 Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Facility		$30.54	$30.54	$42.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $65.70 / $92.14	Professional		$56.75	$65.70	$92.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Facility		$30.54	$30.54	$42.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $24.79	Professional		$17.71	$17.71	$24.79