Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $84.29 / $103.66	Professional		$47.15	$84.29	$103.66
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 $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.98 / $215.06 / $539.92	Facility		$177.98	$215.06	$539.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $585.98 / $585.98 / $687.60	Professional		$585.98	$585.98	$687.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $92.65 / $118.38	Facility		$71.19	$92.65	$118.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $100.13 / $100.62	Professional		$94.86	$100.13	$100.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $118.38 / $127.15	Professional		$112.46	$118.38	$127.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $94.40 / $118.38	Facility		$71.19	$94.40	$118.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $71.75	Professional		$42.61	$42.61	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $54.61 / $63.55	Professional		$36.90	$54.61	$63.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $118.38 / $159.81	Professional		$118.38	$118.38	$159.81