Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $66.07	Professional		$39.81	$56.23	$66.07
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 $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $660.69	Professional		$426.58	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $75.86	Facility		$46.77	$61.66	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $72.44	Professional		$45.71	$57.54	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $35.48	Professional		$33.11	$35.48	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $75.86	Professional		$34.67	$54.95	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $79.43	Facility		$45.71	$60.26	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $47.86	Professional		$28.18	$41.69	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86