Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $43.66 / $43.66	Facility		$42.59	$43.66	$43.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $43.66 / $45.25	Professional		$42.59	$43.66	$45.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $100.84 / $121.37	Facility		$100.84	$100.84	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $106.48 / $134.93	Facility		$80.00	$106.48	$134.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $202.31 / $212.96	Professional		$136.72	$202.31	$212.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $53.24 / $92.56	Facility		$43.12	$53.24	$92.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $53.24 / $92.56	Facility		$42.59	$53.24	$92.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Professional		$44.36	$44.36	$44.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $11.06	Professional		$8.19	$8.19	$11.06