Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $64.19 / $74.92	Professional		$45.61	$64.19	$74.92
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 $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $175.92 / $408.79	Facility		$145.59	$175.92	$408.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $449.23 / $701.93	Professional		$449.23	$449.23	$701.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $66.01 / $75.78	Facility		$48.27	$66.01	$75.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.73 / $75.00	Professional		$70.79	$74.73	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $75.78 / $81.40	Professional		$55.00	$75.78	$81.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.62 / $64.36 / $75.78	Facility		$50.62	$64.36	$75.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $74.87	Professional		$36.19	$36.19	$74.87
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $46.36 / $53.96	Professional		$31.34	$46.36	$53.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $75.78 / $102.30	Professional		$75.78	$75.78	$102.30