Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $152.29 / $180.58	Professional		$122.31	$152.29	$180.58
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 $87.87 / $87.87 / $87.87	Professional		$87.87	$87.87	$87.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.47 / $431.05 / $1,153.63	Facility		$360.47	$431.05	$1,153.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.56 / $1,210.95 / $1,830.60	Professional		$1,182.56	$1,210.95	$1,830.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $152.83 / $183.06	Facility		$122.31	$152.83	$183.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $173.91 / $173.91	Professional		$155.60	$173.91	$173.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $186.72 / $254.81	Professional		$183.06	$186.72	$254.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $155.49 / $183.06	Facility		$122.31	$155.49	$183.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $174.24	Professional		$87.87	$87.87	$174.24
United Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $112.58 / $131.02	Professional		$76.11	$112.58	$131.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $183.06 / $247.13	Professional		$183.06	$183.06	$247.13