Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $91.49 / $106.78	Professional		$55.93	$91.49	$106.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $91.46 / $91.46	Professional		$91.46	$91.46	$91.46
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 $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.90 / $224.17 / $544.61	Facility		$189.90	$224.17	$544.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $643.85 / $643.85 / $975.53	Professional		$643.85	$643.85	$975.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $97.25 / $121.95	Facility		$76.73	$97.25	$121.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $123.57 / $123.57	Professional		$103.66	$123.57	$123.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $124.39 / $146.34	Professional		$121.95	$124.39	$146.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $97.25 / $121.95	Facility		$77.42	$97.25	$121.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $123.80	Professional		$46.82	$46.82	$123.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $59.99 / $69.81	Professional		$40.56	$59.99	$69.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $121.95 / $164.63	Professional		$121.95	$121.95	$164.63