Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $69.31 / $115.15	Professional		$24.44	$69.31	$115.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $29.33 / $94.45	Facility		$26.28	$29.33	$94.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $77.43 / $148.08	Professional		$30.18	$77.43	$148.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $181.31 / $181.31	Facility		$181.31	$181.31	$181.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $650.54 / $833.10	Professional		$368.16	$650.54	$833.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $72.36 / $132.15	Facility		$28.31	$72.36	$132.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $106.74 / $155.26	Professional		$34.59	$106.74	$155.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $93.98 / $190.29	Professional		$27.96	$93.98	$190.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $72.29 / $132.15	Facility		$27.73	$72.29	$132.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $81.63 / $162.36	Professional		$30.32	$81.63	$162.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $85.03 / $120.09	Professional		$63.54	$85.03	$120.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $92.91 / $131.97	Professional		$82.82	$92.91	$131.97