Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $256.95 / $298.79	Professional		$137.68	$256.95	$298.79
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 $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $599.64 / $724.57 / $1,389.96	Facility		$599.64	$724.57	$1,389.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.04 / $1,689.04 / $2,007.68	Professional		$1,689.04	$1,689.04	$2,007.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $267.06 / $341.22	Facility		$205.20	$267.06	$341.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $254.31 / $324.16	Professional		$240.92	$254.31	$324.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.22 / $348.04 / $428.32	Professional		$341.22	$348.04	$428.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $267.69 / $341.22	Facility		$205.20	$267.69	$341.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $254.79	Professional		$128.49	$128.49	$254.79
United Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $164.63 / $191.59	Professional		$111.29	$164.63	$191.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.22 / $341.22 / $460.65	Professional		$341.22	$341.22	$460.65