Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $51.15 / $74.40	Facility		$51.15	$51.15	$74.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $68.20 / $101.00	Professional		$48.00	$68.20	$101.00
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 $62.26 / $62.26 / $62.26	Facility		$62.26	$62.26	$62.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $295.58 / $306.38	Facility		$107.31	$295.58	$306.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $362.37 / $362.37 / $472.43	Professional		$362.37	$362.37	$472.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $75.59 / $149.87	Facility		$51.15	$75.59	$149.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $51.05 / $51.05	Professional		$51.05	$51.05	$51.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $209.20 / $209.20	Professional		$172.10	$209.20	$209.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $75.59 / $147.59	Facility		$51.15	$75.59	$147.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $65.09 / $102.00	Professional		$47.25	$65.09	$102.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $101.00 / $141.40	Professional		$26.89	$101.00	$141.40