Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $121.32 / $149.16	Professional		$87.98	$121.32	$149.16
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 $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $297.20 / $318.12 / $827.28	Facility		$297.20	$318.12	$827.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $951.02 / $951.02 / $1,485.98	Professional		$951.02	$951.02	$1,485.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $123.80 / $148.60	Facility		$99.29	$123.80	$148.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $141.16 / $141.16	Professional		$126.31	$141.16	$141.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $151.57 / $188.05	Professional		$148.60	$151.57	$188.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $123.80 / $148.60	Facility		$99.29	$123.80	$148.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $141.44	Professional		$71.33	$71.33	$141.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $91.39 / $106.35	Professional		$61.78	$91.39	$106.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $148.60 / $200.61	Professional		$148.60	$148.60	$200.61