Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.80 / $62.21	Facility		$28.52	$28.80	$62.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.80 / $34.22	Professional		$28.52	$28.80	$34.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $28.52	Facility		$26.90	$28.52	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $142.60 / $143.93	Facility		$75.00	$142.60	$143.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $145.84 / $172.71	Professional		$145.84	$145.84	$172.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $60.03	Facility		$28.52	$28.52	$60.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $29.09 / $47.06	Professional		$28.52	$29.09	$47.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $31.37 / $56.52	Professional		$27.40	$31.37	$56.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $55.67	Facility		$28.52	$28.52	$55.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $39.99	Professional		$28.52	$28.52	$39.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $30.23 / $31.75	Professional		$28.52	$30.23	$31.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $39.93	Professional		$28.52	$28.52	$39.93