Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $114.82	Professional		$57.54	$87.10	$114.82
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 $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $831.76	Professional		$549.54	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $120.23	Facility		$64.57	$95.50	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $112.20	Professional		$64.57	$87.10	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $48.98	Professional		$44.67	$48.98	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $104.71	Professional		$50.12	$89.13	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $120.23	Facility		$64.57	$91.20	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $74.13	Professional		$42.66	$63.10	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71