Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $112.20 / $794.33	Facility		$52.48	$112.20	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $100.00	Professional		$61.66	$74.13	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $64.57	Facility		$52.48	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $100.00	Professional		$51.29	$54.95	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $457.09	Professional		$158.49	$457.09	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $144.54	Facility		$47.86	$79.43	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $102.33	Professional		$61.66	$75.86	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6.92 / $10.00	Professional		$0.60	$6.92	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $141.25	Facility		$47.86	$81.28	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $125.89	Professional		$51.29	$79.43	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $81.28	Professional		$38.02	$50.12	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $64.57	Professional		$51.29	$51.29	$64.57