Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $218.78	Professional		$120.23	$173.78	$218.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $1,905.46	Professional		$1,258.93	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $257.04	Facility		$141.25	$194.98	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $218.78	Professional		$134.90	$190.55	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $120.23	Professional		$109.65	$120.23	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $257.04	Facility		$141.25	$194.98	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $134.90	Professional		$79.43	$117.49	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04