Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $85.49 / $110.87	Professional		$57.28	$85.49	$110.87
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 $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.80 / $221.74 / $537.64	Facility		$187.80	$221.74	$537.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $553.72 / $553.72 / $835.43	Professional		$553.72	$553.72	$835.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.47 / $87.47 / $105.10	Facility		$65.47	$87.47	$105.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $101.76 / $101.76	Professional		$96.41	$101.76	$101.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $102.78 / $110.39	Professional		$90.00	$102.78	$110.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $87.36 / $102.78	Facility		$67.30	$87.36	$102.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $101.96	Professional		$49.33	$49.33	$101.96
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $63.20 / $73.56	Professional		$42.73	$63.20	$73.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $102.78 / $138.75	Professional		$102.78	$102.78	$138.75