Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $262.80 / $736.50	Facility		$90.00	$262.80	$736.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $99.00 / $127.50	Professional		$84.00	$99.00	$127.50
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 Facility Modifier Low / Median / High Price $99.93 / $329.55 / $668.84	Facility		$99.93	$329.55	$668.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $166.16 / $199.07	Professional		$72.00	$166.16	$199.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $712.50 / $712.50	Facility		$240.00	$712.50	$712.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $150.00 / $209.98	Facility		$90.00	$150.00	$209.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $187.50	Professional		$142.50	$150.00	$187.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $187.50 / $337.50	Professional		$135.00	$187.50	$337.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $160.88 / $539.66	Facility		$101.89	$160.88	$539.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $180.00 / $262.50	Professional		$87.75	$180.00	$262.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $96.00	Professional		$63.00	$63.00	$96.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $150.00	Professional		$60.00	$60.00	$150.00