Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $51.29 / $154.88	Facility		$21.88	$51.29	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $37.15	Professional		$19.95	$25.12	$37.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $151.36	Facility		$21.88	$26.30	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $50.12	Professional		$17.78	$41.69	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $251.19	Professional		$169.82	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $34.67 / $63.10	Facility		$25.70	$34.67	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $42.66	Professional		$19.95	$26.92	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $72.44	Professional		$33.88	$36.31	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $100.00	Facility		$23.44	$33.88	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $63.10	Professional		$26.92	$35.48	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.13 / $33.88	Facility		$12.30	$14.13	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $23.44	Professional		$14.13	$14.13	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.88 / $33.88	Professional		$13.18	$33.88	$33.88