Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $95.50	Professional		$42.66	$72.44	$95.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $812.83	Professional		$537.03	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $85.11 / $112.20	Facility		$60.26	$85.11	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $95.50	Professional		$53.70	$81.28	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $51.29	Professional		$47.86	$51.29	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $112.20	Professional		$19.95	$34.67	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $112.20	Facility		$60.26	$83.18	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $58.88	Professional		$31.62	$50.12	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20