Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $63.13 / $73.41	Professional		$33.33	$63.13	$73.41
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 $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $170.20 / $338.18	Facility		$140.85	$170.20	$338.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $415.01 / $415.01 / $628.79	Professional		$415.01	$415.01	$628.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $65.33 / $83.84	Facility		$50.42	$65.33	$83.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $67.59 / $71.26	Professional		$64.04	$67.59	$71.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $83.84 / $90.05	Professional		$79.65	$83.84	$90.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $66.18 / $83.84	Facility		$50.42	$66.18	$83.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $67.73	Professional		$30.18	$30.18	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $38.67 / $45.00	Professional		$26.14	$38.67	$45.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $83.84 / $113.18	Professional		$83.84	$83.84	$113.18