Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $89.03 / $103.63	Professional		$56.33	$89.03	$103.63
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 $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $212.30 / $591.09	Facility		$208.02	$212.30	$591.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $597.30 / $598.23 / $821.40	Professional		$597.30	$598.23	$821.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $93.34 / $112.21	Facility		$71.48	$93.34	$112.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $106.58 / $106.58	Professional		$98.00	$106.58	$106.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.21 / $120.52	Professional		$90.00	$112.21	$120.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $93.34 / $112.21	Facility		$71.48	$93.34	$112.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $106.78	Professional		$49.92	$49.92	$106.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $63.97 / $74.44	Professional		$43.24	$63.97	$74.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $112.21 / $151.47	Professional		$112.21	$112.21	$151.47