Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.45 / $22.89	Facility		$22.02	$22.45	$22.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $22.89 / $37.13	Professional		$20.83	$22.89	$37.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $49.32 / $49.32	Facility		$49.32	$49.32	$49.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $228.34 / $228.34	Facility		$85.00	$228.34	$228.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $246.66 / $359.03	Professional		$246.66	$246.66	$359.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $32.95 / $49.32	Facility		$14.11	$32.95	$49.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $41.92 / $49.32	Professional		$14.11	$41.92	$49.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $50.31 / $110.97	Professional		$37.72	$50.31	$110.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $29.64 / $49.32	Facility		$14.11	$29.64	$49.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $39.81	Professional		$19.98	$19.98	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $26.00 / $31.36	Professional		$18.10	$26.00	$31.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $26.71 / $49.32	Professional		$26.27	$26.71	$49.32