Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $72.73 / $83.61	Professional		$48.91	$72.73	$83.61
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 $36.94 / $36.94 / $36.94	Professional		$36.94	$36.94	$36.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $179.11 / $461.56	Facility		$148.22	$179.11	$461.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.53 / $492.53 / $769.58	Professional		$492.53	$492.53	$769.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $76.13 / $95.48	Facility		$60.59	$76.13	$95.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $73.11 / $81.16	Professional		$69.26	$73.11	$81.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $95.48 / $114.58	Professional		$92.52	$95.48	$114.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $76.64 / $95.48	Facility		$60.59	$76.64	$95.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $36.94 / $73.25	Professional		$36.94	$36.94	$73.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $47.33 / $55.08	Professional		$32.00	$47.33	$55.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $95.48 / $128.90	Professional		$95.48	$95.48	$128.90