Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $44.81 / $44.81	Facility		$41.85	$44.81	$44.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $44.81 / $56.50	Professional		$41.81	$44.81	$56.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $52.52 / $55.44	Facility		$52.52	$52.52	$55.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $268.17 / $268.17	Facility		$92.03	$268.17	$268.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.96 / $333.27 / $431.18	Professional		$330.96	$333.27	$431.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $53.67 / $118.96	Facility		$42.06	$53.67	$118.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $74.11 / $95.06	Professional		$59.95	$74.11	$95.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $128.69 / $128.69	Professional		$104.70	$128.69	$128.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $53.67 / $118.96	Facility		$42.06	$53.67	$118.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $125.77	Professional		$47.02	$47.02	$125.77
United Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $58.74 / $89.02	Professional		$42.39	$58.74	$89.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $51.11 / $71.08	Professional		$43.62	$51.11	$71.08