Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $49.11 / $50.06	Facility		$48.17	$49.11	$50.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $50.06 / $81.23	Professional		$45.34	$50.06	$81.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $107.87 / $107.87	Facility		$107.87	$107.87	$107.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $59.89	Facility		$59.89	$59.89	$59.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $43.72 / $59.89	Professional		$43.72	$43.72	$59.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $499.54 / $499.54	Facility		$180.20	$499.54	$499.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.03 / $540.03 / $785.33	Professional		$540.03	$540.03	$785.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $72.06 / $107.87	Facility		$30.87	$72.06	$107.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $91.69 / $107.87	Professional		$30.87	$91.69	$107.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $124.05 / $247.57	Professional		$37.50	$124.05	$247.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $64.84 / $107.87	Facility		$30.87	$64.84	$107.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $43.72 / $61.69	Professional		$43.72	$43.72	$61.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $57.61 / $68.59	Professional		$39.85	$57.61	$68.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $57.42 / $107.87	Professional		$57.20	$57.42	$107.87