Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $80.95 / $106.09	Professional		$52.04	$80.95	$106.09
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 $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $224.77 / $575.51	Facility		$185.98	$224.77	$575.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $710.69 / $727.74 / $758.85	Professional		$710.69	$727.74	$758.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $94.83 / $121.16	Facility		$72.86	$94.83	$121.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $105.77 / $105.77	Professional		$100.21	$105.77	$105.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $121.16 / $130.13	Professional		$115.10	$121.16	$130.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $95.65 / $121.16	Facility		$72.86	$95.65	$121.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $71.75	Professional		$43.62	$43.62	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $55.89 / $65.04	Professional		$37.78	$55.89	$65.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $121.16 / $163.57	Professional		$121.16	$121.16	$163.57