Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $72.77 / $102.00	Professional		$49.74	$72.77	$102.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $164.36 / $219.14	Facility		$104.09	$164.36	$219.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $416.37 / $493.07	Professional		$383.50	$416.37	$493.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $100.16 / $137.69	Facility		$91.05	$100.16	$137.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $85.59 / $204.86	Professional		$85.59	$85.59	$204.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $95.60 / $136.11	Facility		$91.05	$95.60	$136.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $92.49	Professional		$91.30	$91.30	$92.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $91.05 / $122.92	Professional		$1.72	$91.05	$122.92