Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $76.13 / $87.36	Professional		$52.44	$76.13	$87.36
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 $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.65 / $188.34 / $498.80	Facility		$158.65	$188.34	$498.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.76 / $607.76 / $764.63	Professional		$607.76	$607.76	$764.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $77.70 / $91.53	Facility		$58.31	$77.70	$91.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.48 / $98.48	Professional		$75.00	$98.48	$98.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $91.53 / $98.31	Professional		$55.00	$91.53	$98.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.16 / $77.70 / $91.53	Facility		$61.16	$77.70	$91.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $98.66	Professional		$43.93	$43.93	$98.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $56.29 / $65.51	Professional		$38.04	$56.29	$65.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $91.53 / $123.57	Professional		$91.53	$91.53	$123.57