Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $47.01 / $54.03	Professional		$28.32	$47.01	$54.03
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 $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.53 / $121.48 / $285.00	Facility		$100.53	$121.48	$285.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.83 / $354.83 / $502.95	Professional		$354.83	$354.83	$502.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $49.28 / $61.71	Facility		$39.19	$49.28	$61.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $50.77 / $52.45	Professional		$48.10	$50.77	$52.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $61.71 / $74.05	Professional		$55.00	$61.71	$74.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $49.53 / $61.71	Facility		$39.31	$49.53	$61.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $50.86	Professional		$25.65	$25.65	$50.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $32.86 / $38.25	Professional		$22.22	$32.86	$38.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $61.71 / $83.31	Professional		$61.71	$61.71	$83.31