Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $46.74 / $55.69	Professional		$31.16	$46.74	$55.69
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 $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.96 / $126.92 / $332.98	Facility		$104.96	$126.92	$332.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $401.09 / $410.72 / $454.43	Professional		$401.09	$410.72	$454.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $50.71 / $63.60	Facility		$40.36	$50.71	$63.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $49.95 / $54.06	Professional		$47.32	$49.95	$54.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $63.60 / $76.31	Professional		$61.63	$63.60	$76.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $51.05 / $63.60	Facility		$40.36	$51.05	$63.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $50.05	Professional		$25.24	$25.24	$50.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $32.34 / $37.63	Professional		$21.86	$32.34	$37.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $63.60 / $85.86	Professional		$63.60	$63.60	$85.86