Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $107.15	Professional		$52.48	$83.18	$107.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $741.31	Professional		$602.56	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $125.89	Facility		$72.44	$95.50	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $107.15	Professional		$67.61	$93.33	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Professional		$53.70	$57.54	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $125.89	Professional		$50.12	$89.13	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $125.89	Facility		$72.44	$93.33	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $70.79	Professional		$40.74	$60.26	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89