Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $34.26	Facility		$33.92	$33.92	$34.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $35.28	Professional		$33.92	$33.92	$35.28
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 $32.00 / $33.92 / $33.92	Facility		$32.00	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $96.00 / $120.00	Facility		$75.00	$96.00	$120.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $126.40 / $144.00	Professional		$112.00	$126.40	$144.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $71.91	Facility		$33.92	$33.92	$71.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $42.40	Professional		$33.92	$33.92	$42.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $55.97 / $302.94	Professional		$36.63	$55.97	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $71.77	Facility		$33.92	$33.92	$71.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $36.79	Professional		$33.92	$33.92	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.96	Professional		$33.92	$33.92	$33.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $45.79	Professional		$33.92	$33.92	$45.79