Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $134.90	Facility		$125.89	$128.82	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $245.47	Professional		$125.89	$173.78	$245.47
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 $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $1,737.80	Professional		$1,047.13	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $338.84	Facility		$128.82	$186.21	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $223.87	Professional		$125.89	$151.36	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $389.05 / $389.05	Professional		$0.60	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $331.13	Facility		$128.82	$190.55	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $245.47	Professional		$79.43	$194.98	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $371.54	Professional		$302.00	$302.00	$371.54