Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $83.46 / $88.72	Professional		$54.47	$83.46	$88.72
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 $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.21 / $202.86 / $498.70	Facility		$182.21	$202.86	$498.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.12 / $537.12 / $798.45	Professional		$537.12	$537.12	$798.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $83.46 / $100.32	Facility		$63.91	$83.46	$100.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $103.08 / $103.08	Professional		$95.30	$103.08	$103.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $100.32 / $107.75	Professional		$90.00	$100.32	$107.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $83.46 / $100.32	Facility		$64.31	$83.46	$100.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $103.28	Professional		$45.83	$45.83	$103.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $58.72 / $68.33	Professional		$39.69	$58.72	$68.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $100.32 / $135.43	Professional		$100.32	$100.32	$135.43