Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $28.81 / $28.81	Facility		$27.09	$28.81	$28.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $28.81 / $36.15	Professional		$27.09	$28.81	$36.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $33.34 / $34.70	Facility		$33.34	$33.34	$34.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $40.07	Facility		$40.07	$40.07	$40.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Professional		$29.76	$29.76	$29.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $165.80 / $165.80	Facility		$59.21	$165.80	$165.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.34 / $216.05 / $268.43	Professional		$213.34	$216.05	$268.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $33.97 / $77.02	Facility		$27.20	$33.97	$77.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $46.91 / $60.17	Professional		$37.95	$46.91	$60.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $82.70 / $82.70	Professional		$67.30	$82.70	$82.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $34.02 / $77.02	Facility		$27.20	$34.02	$77.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $79.66	Professional		$29.76	$29.76	$79.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $38.22 / $57.57	Professional		$28.93	$38.22	$57.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $32.46 / $45.08	Professional		$27.61	$32.46	$45.08