Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $94.48 / $100.34	Professional		$61.60	$94.48	$100.34
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 $48.97 / $48.97 / $48.97	Professional		$48.97	$48.97	$48.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.86 / $258.42 / $646.14	Facility		$213.86	$258.42	$646.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.30 / $813.38 / $898.28	Professional		$794.30	$813.38	$898.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $95.32 / $114.60	Facility		$72.75	$95.32	$114.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $119.61 / $119.61	Professional		$108.87	$119.61	$119.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $114.60 / $123.09	Professional		$55.00	$114.60	$123.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $95.32 / $114.60	Facility		$73.00	$95.32	$114.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $103.00	Professional		$48.97	$48.97	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $62.75 / $73.02	Professional		$42.42	$62.75	$73.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $154.71	Professional		$114.60	$114.60	$154.71