Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $80.04 / $95.25	Professional		$43.24	$80.04	$95.25
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 $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $213.37 / $438.24	Facility		$176.58	$213.37	$438.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $538.41 / $815.78	Professional		$538.41	$538.41	$815.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $85.04 / $108.77	Facility		$65.41	$85.04	$108.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $82.92 / $92.45	Professional		$52.00	$82.92	$92.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $108.77 / $116.83	Professional		$103.33	$108.77	$116.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $85.13 / $108.77	Facility		$65.41	$85.13	$108.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $71.75	Professional		$39.15	$39.15	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $50.17 / $58.39	Professional		$33.92	$50.17	$58.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $108.77 / $146.84	Professional		$108.77	$108.77	$146.84