Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $93.07 / $106.38	Professional		$55.56	$93.07	$106.38
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 $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.12 / $248.00 / $681.20	Facility		$215.12	$248.00	$681.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $784.22 / $803.03 / $810.15	Professional		$784.22	$803.03	$810.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.12 / $96.89 / $121.50	Facility		$77.12	$96.89	$121.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $104.62 / $104.62	Professional		$98.00	$104.62	$104.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $121.50 / $130.50	Professional		$90.00	$121.50	$130.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $97.52 / $121.50	Facility		$77.39	$97.52	$121.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $104.82	Professional		$51.62	$51.62	$104.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $66.14 / $76.98	Professional		$44.72	$66.14	$76.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $121.50 / $164.03	Professional		$121.50	$121.50	$164.03