Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $40.15 / $43.37	Facility		$39.61	$40.15	$43.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $42.57 / $57.82	Professional		$36.68	$42.57	$57.82
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 $71.65 / $71.65 / $71.65	Facility		$71.65	$71.65	$71.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $290.42 / $314.30	Facility		$124.11	$290.42	$314.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $724.41 / $753.38	Professional		$458.55	$724.41	$753.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $61.14 / $153.41	Facility		$40.69	$61.14	$153.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $58.08 / $61.14	Professional		$51.97	$58.08	$61.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $68.59 / $107.00	Professional		$59.92	$68.59	$107.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $62.27 / $153.41	Facility		$41.28	$62.27	$153.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $50.84	Professional		$24.95	$24.95	$50.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $28.20 / $42.01	Professional		$21.61	$28.20	$42.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $61.14 / $82.54	Professional		$61.14	$61.14	$82.54