Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $59.35 / $138.96	Facility		$57.90	$59.35	$138.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $59.35 / $68.76	Professional		$57.90	$59.35	$68.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $85.00	Facility		$61.52	$61.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $144.76 / $271.43	Facility		$114.61	$144.76	$271.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $477.55 / $477.55 / $477.55	Professional		$477.55	$477.55	$477.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.65 / $68.61 / $101.26	Facility		$57.65	$68.61	$101.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $54.29 / $100.26	Professional		$52.27	$54.29	$100.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $117.90 / $130.00	Professional		$107.20	$117.90	$130.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $67.42 / $107.93	Facility		$57.90	$67.42	$107.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $73.90	Professional		$61.52	$61.52	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $60.32	Professional		$60.32	$60.32	$60.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $94.76	Professional		$60.32	$60.32	$94.76