Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $141.21 / $156.16	Professional		$89.45	$141.21	$156.16
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 $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $344.55 / $416.33 / $897.48	Facility		$344.55	$416.33	$897.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.04 / $1,079.04 / $1,686.00	Professional		$1,079.04	$1,079.04	$1,686.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $142.50 / $168.60	Facility		$112.65	$142.50	$168.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $170.86 / $170.86	Professional		$160.16	$170.86	$170.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $171.97 / $246.11	Professional		$168.60	$171.97	$246.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $143.19 / $168.60	Facility		$112.65	$143.19	$168.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $171.18	Professional		$80.93	$80.93	$171.18
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $103.69 / $120.67	Professional		$70.09	$103.69	$120.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $168.60 / $227.61	Professional		$168.60	$168.60	$227.61