Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $107.31 / $139.15	Professional		$77.56	$107.31	$139.15
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 $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.92 / $261.87 / $706.09	Facility		$233.92	$261.87	$706.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $713.52 / $726.08 / $1,040.33	Professional		$713.52	$726.08	$1,040.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $109.57 / $137.05	Facility		$82.18	$109.57	$137.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $122.55 / $148.35	Professional		$98.00	$122.55	$148.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $129.00 / $138.55	Professional		$90.00	$129.00	$138.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $109.57 / $129.29	Facility		$83.81	$109.57	$129.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $118.45	Professional		$61.92	$61.92	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $79.34 / $92.33	Professional		$53.63	$79.34	$92.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $174.15	Professional		$129.00	$129.00	$174.15