Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $119.13 / $154.49	Professional		$88.87	$119.13	$154.49
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 $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.43 / $290.72 / $876.04	Facility		$286.43	$290.72	$876.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $897.48 / $919.04 / $1,296.00	Professional		$897.48	$919.04	$1,296.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $119.23 / $152.72	Facility		$91.23	$119.23	$152.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $138.71 / $138.71	Professional		$121.73	$138.71	$138.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $143.21 / $153.82	Professional		$90.00	$143.21	$153.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $119.95 / $143.21	Facility		$94.05	$119.95	$143.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $118.45	Professional		$68.73	$68.73	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $88.08 / $102.50	Professional		$59.54	$88.08	$102.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $143.21 / $193.33	Professional		$143.21	$143.21	$193.33