Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $158.49	Professional		$117.49	$144.54	$158.49
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 $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $181.97	Facility		$117.49	$151.36	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $158.49	Professional		$117.49	$144.54	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $83.18	Professional		$77.62	$83.18	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $177.83	Professional		$50.12	$89.13	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $208.93	Facility		$117.49	$147.91	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $125.89	Professional		$69.18	$107.15	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83