Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $7.87 / $7.95	Facility		$7.87	$7.87	$7.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $8.11	Professional		$7.87	$7.87	$8.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $7.87 / $7.87	Facility		$7.43	$7.87	$7.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Professional		$32.39	$32.39	$32.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $7.26 / $15.62	Facility		$7.10	$7.26	$15.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $9.84	Professional		$7.87	$7.87	$9.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $12.90 / $148.10	Professional		$11.20	$12.90	$148.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $7.87 / $15.08	Facility		$7.10	$7.87	$15.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $8.69	Professional		$7.87	$7.87	$8.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.97	Professional		$7.87	$7.87	$7.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.87 / $10.62	Professional		$7.33	$7.87	$10.62