Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $83.18	Professional		$61.66	$83.18	$83.18
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 $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $112.20	Professional		$87.10	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $83.18 / $91.20	Facility		$77.62	$83.18	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $83.18	Professional		$77.62	$83.18	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $109.65	Professional		$30.20	$30.20	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $85.11	Professional		$64.57	$81.28	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $83.18 / $93.33	Facility		$77.62	$83.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $44.67 / $61.66	Professional		$15.14	$44.67	$61.66