Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $83.01 / $106.42	Professional		$50.27	$83.01	$106.42
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 $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.03 / $213.88 / $508.35	Facility		$177.03	$213.88	$508.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $601.62 / $733.05	Professional		$601.62	$601.62	$733.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $94.71 / $121.54	Facility		$73.09	$94.71	$121.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $90.45 / $103.31	Professional		$85.69	$90.45	$103.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $121.54 / $130.54	Professional		$90.00	$121.54	$130.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $95.95 / $121.54	Facility		$73.09	$95.95	$121.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $90.62	Professional		$44.32	$44.32	$90.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $56.78 / $66.08	Professional		$38.39	$56.78	$66.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $121.54 / $164.08	Professional		$121.54	$121.54	$164.08