Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $100.95 / $108.66	Professional		$69.20	$100.95	$108.66
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 $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $263.35 / $635.54	Facility		$242.82	$263.35	$635.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $747.84 / $747.84 / $1,168.50	Professional		$747.84	$747.84	$1,168.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $101.15 / $121.41	Facility		$80.12	$101.15	$121.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $125.20 / $125.20	Professional		$115.34	$125.20	$125.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $121.41 / $130.38	Professional		$55.00	$121.41	$130.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.12 / $101.15 / $121.41	Facility		$81.12	$101.15	$121.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $125.44	Professional		$58.28	$58.28	$125.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $74.66 / $86.89	Professional		$50.48	$74.66	$86.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $121.41 / $163.90	Professional		$121.41	$121.41	$163.90