Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $64.57	Professional		$41.69	$58.88	$64.57
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $645.65	Professional		$416.87	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $77.62	Facility		$46.77	$61.66	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $69.18	Professional		$43.65	$57.54	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $33.88	Professional		$30.90	$33.88	$33.88
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 / $81.28	Facility		$45.71	$60.26	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $48.98	Professional		$28.18	$42.66	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44