Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $43.65	Facility		$42.66	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $50.12	Professional		$22.91	$39.81	$50.12
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 $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $61.66	Professional		$15.49	$19.05	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $63.10	Facility		$23.99	$40.74	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $54.95	Professional		$22.91	$39.81	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Professional		$131.83	$151.36	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $40.74 / $60.26	Facility		$20.89	$40.74	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $61.66	Professional		$16.98	$16.98	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $123.03	Facility		$47.86	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $87.10	Professional		$38.90	$53.70	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $38.02	Professional		$30.20	$32.36	$38.02