Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $46.99 / $47.89	Facility		$46.08	$46.99	$47.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $47.89 / $77.70	Professional		$43.37	$47.89	$77.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.19 / $103.19 / $103.19	Facility		$103.19	$103.19	$103.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $69.65	Facility		$69.65	$69.65	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $69.65	Professional		$50.84	$50.84	$69.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $478.20 / $478.20	Facility		$172.52	$478.20	$478.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $516.82 / $516.82 / $751.88	Professional		$516.82	$516.82	$751.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $68.97 / $103.19	Facility		$29.54	$68.97	$103.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $94.93 / $103.19	Professional		$29.54	$94.93	$103.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $105.25 / $232.18	Professional		$78.94	$105.25	$232.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $68.97 / $103.19	Facility		$29.54	$68.97	$103.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $50.84 / $71.73	Professional		$50.84	$50.84	$71.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $55.15 / $65.65	Professional		$37.92	$55.15	$65.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $55.89 / $103.19	Professional		$54.96	$55.89	$103.19