Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $37.33 / $40.04	Professional		$23.96	$37.33	$40.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Professional		$57.74	$57.74	$57.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $95.64 / $211.61	Facility		$85.00	$95.64	$211.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $244.02 / $340.28	Professional		$244.02	$244.02	$340.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $40.04 / $59.66	Facility		$23.96	$40.04	$59.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $42.74 / $70.01	Professional		$37.61	$42.74	$70.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $39.90 / $59.14	Facility		$23.96	$39.90	$59.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $57.74 / $79.80	Professional		$51.64	$57.74	$79.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $37.35 / $57.24	Professional		$31.05	$37.35	$57.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $43.10 / $60.34	Professional		$25.79	$43.10	$60.34