Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $128.82	Professional		$75.86	$112.20	$128.82
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 $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,288.25	Professional		$1,047.13	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $114.82 / $177.83	Facility		$63.10	$114.82	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $128.82	Professional		$91.20	$114.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $69.18	Professional		$64.57	$69.18	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $151.36	Facility		$91.20	$117.49	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $93.33	Professional		$53.70	$79.43	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36