Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.53 / $17.87	Facility		$17.20	$17.53	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $17.87 / $29.00	Professional		$16.25	$17.87	$29.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $38.50	Facility		$38.50	$38.50	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $25.64	Facility		$25.64	$25.64	$25.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $25.64	Professional		$18.72	$18.72	$25.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $178.31 / $178.31	Facility		$80.00	$178.31	$178.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $192.88 / $192.88 / $280.20	Professional		$192.88	$192.88	$280.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $25.73 / $38.50	Facility		$11.02	$25.73	$38.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $34.65 / $38.50	Professional		$11.02	$34.65	$38.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $39.27 / $86.62	Professional		$29.45	$39.27	$86.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $25.64 / $38.50	Facility		$11.02	$25.64	$38.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $27.34	Professional		$18.72	$18.72	$27.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.57 / $24.48	Professional		$14.22	$20.57	$24.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $20.84 / $38.50	Professional		$20.49	$20.84	$38.50