Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $83.60 / $96.02	Professional		$58.63	$83.60	$96.02
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 $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.94 / $206.98 / $525.45	Facility		$188.94	$206.98	$525.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $618.38 / $618.38 / $966.23	Professional		$618.38	$618.38	$966.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $86.01 / $100.50	Facility		$66.26	$86.01	$100.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $94.32 / $99.56	Professional		$75.00	$94.32	$99.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $100.50 / $107.94	Professional		$55.00	$100.50	$107.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $85.57 / $100.50	Facility		$67.15	$85.57	$100.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $99.75	Professional		$48.24	$48.24	$99.75
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $61.81 / $71.93	Professional		$41.79	$61.81	$71.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $100.50 / $135.68	Professional		$100.50	$100.50	$135.68