Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $29.63 / $62.45	Facility		$28.91	$29.63	$62.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $29.63 / $34.33	Professional		$28.91	$29.63	$34.33
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 $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $159.00 / $159.00	Facility		$75.00	$159.00	$159.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.89 / $722.89 / $722.89	Professional		$722.89	$722.89	$722.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $30.00 / $41.34	Facility		$8.08	$30.00	$41.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $26.13 / $29.90	Professional		$15.59	$26.13	$29.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $27.40 / $27.40	Professional		$23.20	$27.40	$27.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $30.72 / $41.34	Facility		$8.22	$30.72	$41.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $37.50	Professional		$30.72	$30.72	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.80 / $33.40	Professional		$30.00	$31.80	$33.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $42.00	Professional		$30.00	$30.00	$42.00