Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $100.15 / $112.53	Professional		$58.85	$100.15	$112.53
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 $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.90 / $256.04 / $611.17	Facility		$211.90	$256.04	$611.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $636.12 / $636.12 / $805.05	Professional		$636.12	$636.12	$805.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $106.24 / $128.51	Facility		$78.89	$106.24	$128.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $101.59 / $109.23	Professional		$96.25	$101.59	$109.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $128.51 / $138.03	Professional		$90.00	$128.51	$138.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $106.86 / $128.51	Facility		$78.98	$106.86	$128.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $101.78	Professional		$51.33	$51.33	$101.78
United Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $65.77 / $76.54	Professional		$44.46	$65.77	$76.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $128.51 / $173.49	Professional		$128.51	$128.51	$173.49