Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $88.80 / $112.34	Professional		$52.14	$88.80	$112.34
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 $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.19 / $195.33 / $503.15	Facility		$182.19	$195.33	$503.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.09 / $635.09 / $827.40	Professional		$635.09	$635.09	$827.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $99.98 / $128.30	Facility		$77.15	$99.98	$128.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $91.41 / $121.89	Professional		$86.60	$91.41	$121.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $128.30 / $137.80	Professional		$90.00	$128.30	$137.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $99.98 / $128.30	Facility		$77.15	$99.98	$128.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $91.59	Professional		$46.19	$46.19	$91.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $59.18 / $68.87	Professional		$40.01	$59.18	$68.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $128.30 / $173.21	Professional		$128.30	$128.30	$173.21