Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $112.86 / $128.76	Professional		$84.06	$112.86	$128.76
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 $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $321.11 / $821.42	Facility		$265.63	$321.11	$821.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.07 / $1,039.41 / $1,296.98	Professional		$1,015.07	$1,039.41	$1,296.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.69 / $121.57 / $147.05	Facility		$91.69	$121.57	$147.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $126.32 / $126.32	Professional		$119.67	$126.32	$126.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $147.05 / $176.46	Professional		$142.49	$147.05	$176.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $121.57 / $147.05	Facility		$93.35	$121.57	$147.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $103.00	Professional		$62.26	$62.26	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $79.77 / $92.83	Professional		$53.92	$79.77	$92.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $147.05 / $198.52	Professional		$147.05	$147.05	$198.52