Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $73.22 / $87.78	Professional		$51.73	$73.22	$87.78
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 $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.67 / $234.02 / $538.98	Facility		$193.67	$234.02	$538.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.77 / $572.17 / $754.35	Professional		$558.77	$572.17	$754.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $73.33 / $88.02	Facility		$56.07	$73.33	$88.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $94.50 / $94.50	Professional		$83.62	$94.50	$94.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $88.02 / $94.54	Professional		$83.62	$88.02	$94.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $73.73 / $88.02	Facility		$58.81	$73.73	$88.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $82.87	Professional		$42.25	$42.25	$82.87
United Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $54.13 / $63.00	Professional		$36.60	$54.13	$63.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $88.02 / $118.83	Professional		$88.02	$88.02	$118.83