Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $81.33 / $89.59	Professional		$51.84	$81.33	$89.59
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 $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.90 / $198.05 / $493.12	Facility		$163.90	$198.05	$493.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $613.92 / $613.92 / $793.20	Professional		$613.92	$613.92	$793.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $81.37 / $97.81	Facility		$62.31	$81.37	$97.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $94.83 / $94.83	Professional		$75.00	$94.83	$94.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $97.81 / $105.06	Professional		$55.00	$97.81	$105.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $81.37 / $97.81	Facility		$63.89	$81.37	$97.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $95.01	Professional		$44.38	$44.38	$95.01
United Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $56.86 / $66.17	Professional		$38.44	$56.86	$66.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $97.81 / $132.04	Professional		$97.81	$97.81	$132.04