Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.23 / $12.02	Facility		$5.01	$10.23	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.75 / $6.92	Professional		$5.01	$5.75	$6.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $79.43	Facility		$5.75	$5.75	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.75 / $5.75	Facility		$5.37	$5.75	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.46 / $10.47	Facility		$5.75	$6.46	$10.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.03	Professional		$5.01	$5.01	$6.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.92	Professional		$5.75	$5.75	$6.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $12.88 / $30.20	Professional		$0.60	$12.88	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.03 / $10.47	Facility		$5.75	$6.03	$10.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.61	Professional		$5.75	$5.75	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.03 / $6.31	Professional		$5.75	$6.03	$6.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $7.08	Professional		$5.75	$5.75	$7.08