Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
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 $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $65.97 / $65.97	Professional		$65.97	$65.97	$65.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $33.63	Facility		$19.57	$19.57	$33.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $23.50	Professional		$23.50	$23.50	$23.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $23.24 / $25.97	Professional		$22.16	$23.24	$25.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $27.99	Facility		$19.57	$19.57	$27.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00