Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $52.43 / $60.52	Professional		$31.59	$52.43	$60.52
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 $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.53 / $161.34 / $301.86	Facility		$133.53	$161.34	$301.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $349.29 / $357.66 / $512.25	Professional		$349.29	$357.66	$512.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $54.42 / $67.29	Facility		$42.70	$54.42	$67.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $56.63 / $57.20	Professional		$53.65	$56.63	$57.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $67.29 / $80.75	Professional		$63.93	$67.29	$80.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $54.42 / $67.29	Facility		$42.70	$54.42	$67.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $56.74	Professional		$28.61	$28.61	$56.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $36.65 / $42.66	Professional		$24.78	$36.65	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $67.29 / $90.84	Professional		$67.29	$67.29	$90.84