Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $58.33 / $65.54	Professional		$45.10	$58.33	$65.54
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 $32.19 / $32.19 / $32.19	Professional		$32.19	$32.19	$32.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $136.68 / $406.13	Facility		$122.80	$136.68	$406.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.48 / $426.48 / $666.38	Professional		$426.48	$426.48	$666.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $62.24 / $74.84	Facility		$47.68	$62.24	$74.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $72.95 / $75.00	Professional		$69.12	$72.95	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $74.84 / $80.39	Professional		$55.00	$74.84	$80.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $62.24 / $74.84	Facility		$47.68	$62.24	$74.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $73.09	Professional		$32.19	$32.19	$73.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $41.24 / $48.00	Professional		$27.88	$41.24	$48.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $74.84 / $101.03	Professional		$74.84	$74.84	$101.03