Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $15.46 / $15.46	Facility		$14.33	$15.46	$15.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $15.46 / $19.07	Professional		$14.33	$15.46	$19.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $19.01	Facility		$17.93	$17.93	$19.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Facility		$21.36	$21.36	$21.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $89.51 / $89.51	Facility		$30.48	$89.51	$89.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $113.84 / $144.08	Professional		$113.84	$113.84	$144.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $18.00 / $39.65	Facility		$14.42	$18.00	$39.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $24.85 / $31.88	Professional		$20.11	$24.85	$31.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $44.40 / $44.40	Professional		$36.20	$44.40	$44.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $18.02 / $39.65	Facility		$14.42	$18.02	$39.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $42.53	Professional		$15.77	$15.77	$42.53
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $19.57 / $29.80	Professional		$14.38	$19.57	$29.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.16 / $23.86	Professional		$14.63	$17.16	$23.86