Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $74.19 / $139.54	Facility		$63.96	$74.19	$139.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $63.96 / $72.40	Professional		$57.92	$63.96	$72.40
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 $61.54 / $61.54 / $85.00	Facility		$61.54	$61.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $329.55 / $329.55	Facility		$84.79	$329.55	$329.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,649.11 / $2,649.11 / $2,649.11	Professional		$2,649.11	$2,649.11	$2,649.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $63.96 / $126.53	Facility		$57.92	$63.96	$126.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $63.96 / $363.51	Professional		$54.30	$63.96	$363.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $79.90 / $143.90	Professional		$27.40	$79.90	$143.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $63.96 / $129.77	Facility		$57.92	$63.96	$129.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $75.43	Professional		$61.54	$61.54	$75.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $67.17	Professional		$60.34	$63.96	$67.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $84.48	Professional		$60.34	$60.34	$84.48