Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $48.33 / $101.84	Facility		$47.15	$48.33	$101.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.33 / $58.00	Professional		$47.15	$48.33	$58.00
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 $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $260.35 / $260.35	Facility		$100.00	$260.35	$260.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $202.61 / $202.61 / $202.61	Professional		$202.61	$202.61	$202.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $52.07 / $108.74	Facility		$47.15	$52.07	$108.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $44.21 / $44.21	Professional		$44.21	$44.21	$44.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $74.80	Professional		$27.40	$27.40	$74.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.74 / $52.07 / $109.49	Facility		$47.74	$52.07	$109.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $62.48 / $65.61	Professional		$58.94	$62.48	$65.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $72.90	Professional		$52.07	$52.07	$72.90