Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.51 / $16.75	Facility		$15.30	$15.51	$16.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $15.96 / $20.68	Professional		$14.17	$15.96	$20.68
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 $27.67 / $27.67 / $27.67	Facility		$27.67	$27.67	$27.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Professional		$9.63	$9.63	$9.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $119.12 / $132.27	Facility		$47.93	$119.12	$132.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.08 / $305.66 / $317.89	Professional		$177.08	$305.66	$317.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $23.95 / $64.48	Facility		$15.72	$23.95	$64.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $22.43 / $23.61	Professional		$20.07	$22.43	$23.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $26.49 / $41.32	Professional		$23.14	$26.49	$41.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $24.91 / $64.48	Facility		$15.85	$24.91	$64.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $19.64	Professional		$9.63	$9.63	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $10.71 / $16.23	Professional		$8.35	$10.71	$16.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $31.87	Professional		$23.61	$23.61	$31.87