Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $39.81	Professional		$22.91	$36.31	$39.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $338.84	Professional		$245.47	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $54.95	Facility		$23.99	$37.15	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $39.81	Professional		$22.91	$37.15	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $165.96	Professional		$123.03	$138.04	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $51.29	Facility		$21.88	$36.31	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $61.66	Professional		$30.90	$38.90	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $45.71	Professional		$42.66	$45.71	$45.71