Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $128.82	Professional		$70.79	$104.71	$128.82
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 $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $138.04	Facility		$83.18	$112.20	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $128.82	Professional		$79.43	$104.71	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $60.26	Professional		$54.95	$60.26	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $128.82	Professional		$50.12	$89.13	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $141.25	Facility		$81.28	$109.65	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $85.11	Professional		$46.77	$74.13	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82