Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $43.65	Facility		$38.02	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $51.29 / $75.86	Professional		$10.96	$51.29	$75.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $117.49	Professional		$91.20	$117.49	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $114.82	Facility		$11.75	$26.92	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $43.65 / $75.86	Professional		$10.96	$43.65	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $158.49 / $158.49	Professional		$0.60	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $100.00	Facility		$12.59	$26.92	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $25.70	Professional		$12.02	$15.85	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $75.86 / $95.50	Professional		$6.76	$75.86	$95.50