Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $575.44	Professional		$331.13	$524.81	$575.44
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 $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $4,897.79	Professional		$3,311.31	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $676.08	Facility		$407.38	$549.54	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $588.84	Professional		$407.38	$549.54	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $316.23	Professional		$288.40	$316.23	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $676.08	Facility		$407.38	$549.54	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $416.87	Professional		$245.47	$363.08	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08