Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $42.54 / $49.47	Professional		$26.77	$42.54	$49.47
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 $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.91 / $239.88	Facility		$100.00	$107.91	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $279.63 / $433.43	Professional		$279.63	$279.63	$433.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $44.82 / $56.49	Facility		$34.90	$44.82	$56.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $41.17 / $48.02	Professional		$39.01	$41.17	$48.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $56.49 / $67.79	Professional		$53.67	$56.49	$67.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $45.35 / $56.49	Facility		$34.90	$45.35	$56.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $41.25	Professional		$20.80	$20.80	$41.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $26.66 / $31.02	Professional		$18.02	$26.66	$31.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $56.49 / $76.26	Professional		$56.49	$56.49	$76.26