Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $23.35 / $23.80	Facility		$22.90	$23.35	$23.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $23.80 / $38.61	Professional		$22.90	$23.80	$38.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $30.91	Professional		$22.56	$22.56	$30.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.25 / $313.22 / $313.22	Facility		$263.25	$313.22	$313.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $316.51 / $405.30	Professional		$316.51	$316.51	$405.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $35.74 / $51.29	Facility		$15.93	$35.74	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $46.99 / $51.29	Professional		$15.93	$46.99	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $60.17 / $83.97	Professional		$58.98	$60.17	$83.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $34.27 / $51.29	Facility		$15.93	$34.27	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $31.84	Professional		$22.56	$22.56	$31.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $29.74 / $35.40	Professional		$20.56	$29.74	$35.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $30.13 / $51.29	Professional		$29.63	$30.13	$51.29