Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $57.75 / $84.00	Facility		$57.75	$57.75	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.65 / $115.00	Professional		$40.00	$76.65	$115.00
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 Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.32 / $246.01 / $254.98	Facility		$89.32	$246.01	$254.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $301.64 / $393.23	Professional		$301.64	$301.64	$393.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $82.30 / $166.95	Facility		$43.70	$82.30	$166.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Professional		$42.49	$42.49	$42.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $236.20 / $236.20	Professional		$191.90	$236.20	$236.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $84.00 / $166.63	Facility		$43.70	$84.00	$166.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $53.55 / $86.56	Professional		$39.00	$53.55	$86.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $115.00 / $161.00	Professional		$22.38	$115.00	$161.00