Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $144.91 / $158.97	Professional		$117.64	$144.91	$158.97
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 $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.98 / $566.90 / $1,115.06	Facility		$468.98	$566.90	$1,115.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.13 / $1,835.15 / $1,835.15	Professional		$1,792.13	$1,835.15	$1,835.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $146.44 / $176.06	Facility		$117.64	$146.44	$176.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $167.26 / $202.47	Professional		$149.65	$167.26	$202.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $176.06 / $189.10	Professional		$90.00	$176.06	$189.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $146.68 / $176.06	Facility		$117.64	$146.68	$176.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $165.00	Professional		$84.51	$84.51	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $108.28 / $126.01	Professional		$73.20	$108.28	$126.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $176.06 / $237.68	Professional		$176.06	$176.06	$237.68