Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $23.84 / $24.30	Facility		$23.38	$23.84	$24.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $24.30 / $39.42	Professional		$22.13	$24.30	$39.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $52.36 / $52.36	Facility		$52.36	$52.36	$52.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $26.52	Professional		$26.52	$26.52	$26.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $242.56 / $242.56	Facility		$87.56	$242.56	$242.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $262.20 / $381.30	Professional		$262.20	$262.20	$381.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $34.99 / $52.36	Facility		$14.99	$34.99	$52.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $48.17 / $52.36	Professional		$14.99	$48.17	$52.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $53.41 / $117.81	Professional		$40.06	$53.41	$117.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $34.99 / $52.36	Facility		$14.99	$34.99	$52.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $42.28	Professional		$26.52	$26.52	$42.28
United Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $23.01 / $27.08	Facility		$17.84	$23.01	$27.08
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.98 / $33.31	Professional		$19.35	$27.98	$33.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $27.88 / $52.36	Professional		$27.25	$27.88	$52.36