Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $102.10 / $127.03	Professional		$70.80	$102.10	$127.03
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 $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $232.62 / $272.00 / $760.71	Facility		$232.62	$272.00	$760.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $859.86 / $880.52 / $912.38	Professional		$859.86	$880.52	$912.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $105.55 / $126.89	Facility		$80.55	$105.55	$126.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $117.35 / $117.35	Professional		$98.00	$117.35	$117.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $126.89 / $136.29	Professional		$90.00	$126.89	$136.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $105.55 / $126.89	Facility		$80.84	$105.55	$126.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $117.57	Professional		$57.66	$57.66	$117.57
United Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $73.87 / $85.97	Professional		$49.94	$73.87	$85.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $126.89 / $171.30	Professional		$126.89	$126.89	$171.30