Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $56.00	Facility		$38.50	$38.50	$56.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $51.10 / $76.00	Professional		$12.00	$51.10	$76.00
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 $15.66 / $15.66 / $15.66	Facility		$15.66	$15.66	$15.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $75.00 / $77.05	Facility		$26.99	$75.00	$77.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $91.15 / $118.80	Professional		$91.15	$91.15	$118.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $50.05 / $108.13	Facility		$13.11	$50.05	$108.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Professional		$12.84	$12.84	$12.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $157.50 / $157.50	Professional		$91.20	$157.50	$157.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $51.10 / $108.33	Facility		$13.11	$51.10	$108.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $15.75 / $24.97	Professional		$11.88	$15.75	$24.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $76.00 / $106.40	Professional		$6.77	$76.00	$106.40