Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $93.27 / $105.70	Professional		$59.69	$93.27	$105.70
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 $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.80 / $287.42 / $671.41	Facility		$237.80	$287.42	$671.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $908.69 / $930.51 / $930.51	Professional		$908.69	$930.51	$930.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $96.89 / $120.72	Facility		$74.69	$96.89	$120.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $110.45 / $110.45	Professional		$104.63	$110.45	$110.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $120.72 / $129.66	Professional		$55.00	$120.72	$129.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $96.89 / $120.72	Facility		$74.81	$96.89	$120.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $103.00	Professional		$50.89	$50.89	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $65.20 / $75.88	Professional		$44.08	$65.20	$75.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $120.72 / $162.97	Professional		$120.72	$120.72	$162.97