Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $125.92 / $154.19	Professional		$60.48	$125.92	$154.19
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 $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $298.92 / $734.76	Facility		$250.05	$298.92	$734.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $871.65 / $871.65 / $1,137.15	Professional		$871.65	$871.65	$1,137.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $139.01 / $176.09	Facility		$106.51	$139.01	$176.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $158.38 / $158.38	Professional		$150.06	$158.38	$158.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $179.61 / $211.31	Professional		$176.09	$179.61	$211.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $140.07 / $176.09	Facility		$106.51	$140.07	$176.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $158.69	Professional		$63.92	$63.92	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $81.91 / $95.32	Professional		$55.37	$81.91	$95.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $176.09 / $237.72	Professional		$176.09	$176.09	$237.72