Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $89.13	Professional		$51.29	$81.28	$89.13
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 $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $794.33	Professional		$616.60	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $100.00	Facility		$61.66	$85.11	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $89.13	Professional		$61.66	$81.28	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $46.77	Professional		$42.66	$46.77	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $100.00	Professional		$34.67	$54.95	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $100.00	Facility		$61.66	$83.18	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $66.07	Professional		$38.02	$54.95	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00