Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $34.36 / $35.03	Facility		$33.71	$34.36	$35.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $35.03 / $56.84	Professional		$31.89	$35.03	$56.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $75.48 / $75.48	Facility		$75.48	$75.48	$75.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $41.91	Professional		$30.59	$30.59	$41.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $349.60 / $349.60	Facility		$126.12	$349.60	$349.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $549.53	Professional		$378.23	$378.23	$549.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $50.43 / $75.48	Facility		$21.60	$50.43	$75.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $64.16 / $75.48	Professional		$21.60	$64.16	$75.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $76.98 / $169.83	Professional		$57.74	$76.98	$169.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $46.78 / $75.48	Facility		$21.60	$46.78	$75.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $43.17	Professional		$30.59	$30.59	$43.17
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $40.33 / $48.01	Professional		$27.89	$40.33	$48.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $40.85 / $75.48	Professional		$40.18	$40.85	$75.48