Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $187.84 / $221.62	Professional		$129.44	$187.84	$221.62
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 $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $425.19 / $513.77 / $1,160.19	Facility		$425.19	$513.77	$1,160.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.80 / $1,252.80 / $1,898.18	Professional		$1,252.80	$1,252.80	$1,898.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $201.83 / $253.09	Facility		$152.21	$201.83	$253.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.54 / $196.91 / $215.13	Professional		$186.54	$196.91	$215.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $258.16 / $309.79	Professional		$253.09	$258.16	$309.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $203.16 / $253.09	Facility		$152.21	$203.16	$253.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $197.28	Professional		$91.11	$91.11	$197.28
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $116.74 / $135.86	Professional		$78.92	$116.74	$135.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $253.09 / $341.67	Professional		$253.09	$253.09	$341.67