Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $79.51 / $84.44	Professional		$54.67	$79.51	$84.44
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 $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.87 / $185.99 / $500.56	Facility		$176.87	$185.99	$500.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $510.29 / $510.29 / $797.33	Professional		$510.29	$510.29	$797.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $80.18 / $96.44	Facility		$61.43	$80.18	$96.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $92.95 / $98.00	Professional		$88.06	$92.95	$98.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $96.44 / $103.58	Professional		$90.00	$96.44	$103.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $80.18 / $96.44	Facility		$63.66	$80.18	$96.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $93.13	Professional		$43.73	$43.73	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $56.03 / $65.20	Professional		$37.88	$56.03	$65.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $96.44 / $130.19	Professional		$96.44	$96.44	$130.19