Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $107.15	Professional		$52.48	$79.43	$107.15
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 $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $758.58	Professional		$724.44	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $123.03	Facility		$66.07	$93.33	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $107.15	Professional		$61.66	$91.20	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $57.54	Professional		$52.48	$57.54	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $123.03	Professional		$19.95	$34.67	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $123.03	Facility		$64.57	$91.20	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $64.57	Professional		$35.48	$56.23	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03