Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $86.19 / $106.94	Professional		$50.99	$86.19	$106.94
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 $47.24 / $47.24 / $47.24	Professional		$47.24	$47.24	$47.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $199.79 / $505.21	Facility		$196.85	$199.79	$505.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $604.49 / $604.49 / $743.48	Professional		$604.49	$604.49	$743.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.44 / $95.59 / $122.12	Facility		$73.44	$95.59	$122.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $93.50 / $116.01	Professional		$88.58	$93.50	$116.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $122.12 / $131.16	Professional		$90.00	$122.12	$131.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.44 / $96.41 / $122.12	Facility		$73.44	$96.41	$122.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $93.68	Professional		$47.24	$47.24	$93.68
United Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $60.53 / $70.44	Professional		$40.92	$60.53	$70.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $122.12 / $164.86	Professional		$122.12	$122.12	$164.86