Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $65.52 / $65.52	Facility		$61.55	$65.52	$65.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $65.52 / $82.02	Professional		$61.55	$65.52	$82.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $77.19 / $81.09	Facility		$77.19	$77.19	$81.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility		$92.30	$92.30	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $390.66 / $390.66	Facility		$132.47	$390.66	$390.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $493.61 / $629.54	Professional		$485.00	$493.61	$629.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $78.78 / $172.34	Facility		$61.81	$78.78	$172.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $108.81 / $139.57	Professional		$88.02	$108.81	$139.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $188.00 / $188.00	Professional		$153.00	$188.00	$188.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $78.78 / $172.34	Facility		$61.81	$78.78	$172.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $182.72	Professional		$69.04	$69.04	$182.72
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $85.01 / $131.09	Professional		$61.54	$85.01	$131.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $75.13 / $104.44	Professional		$64.04	$75.13	$104.44