Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $38.70 / $38.70	Facility		$37.76	$38.70	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $38.70 / $40.11	Professional		$37.76	$38.70	$40.11
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 $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $94.40 / $177.00	Facility		$80.00	$94.40	$177.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $179.36 / $212.40	Professional		$179.36	$179.36	$212.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $47.20 / $82.04	Facility		$38.52	$47.20	$82.04
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 $38.52 / $47.20 / $82.04	Facility		$38.52	$47.20	$82.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $39.84	Professional		$39.33	$39.33	$39.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.16	Professional		$40.11	$40.11	$54.16