Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $66.28 / $74.47	Professional		$41.83	$66.28	$74.47
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 $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.37 / $169.44 / $409.12	Facility		$148.37	$169.44	$409.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $509.35 / $509.35 / $755.93	Professional		$509.35	$509.35	$755.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $70.72 / $85.04	Facility		$54.18	$70.72	$85.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $80.23 / $80.23	Professional		$75.00	$80.23	$80.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.04 / $91.34	Professional		$55.00	$85.04	$91.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $70.72 / $85.04	Facility		$56.34	$70.72	$85.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $80.39	Professional		$37.88	$37.88	$80.39
United Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $48.54 / $56.49	Professional		$32.81	$48.54	$56.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $85.04 / $114.80	Professional		$85.04	$85.04	$114.80