Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $118.79 / $151.68	Professional		$87.80	$118.79	$151.68
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 $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.32 / $286.55 / $831.11	Facility		$282.32	$286.55	$831.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.58 / $872.01 / $1,280.48	Professional		$851.58	$872.01	$1,280.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $118.79 / $150.54	Facility		$90.63	$118.79	$150.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $134.10 / $135.66	Professional		$121.38	$134.10	$135.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $142.80 / $153.38	Professional		$90.00	$142.80	$153.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $118.79 / $142.80	Facility		$90.97	$118.79	$142.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $118.45	Professional		$67.76	$67.76	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $86.82 / $101.04	Professional		$58.69	$86.82	$101.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $142.80 / $192.78	Professional		$142.80	$142.80	$192.78