Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.21 / $287.27 / $805.04	Facility		$101.21	$287.27	$805.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $108.21 / $139.37	Professional		$91.82	$108.21	$139.37
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 $116.51 / $374.94 / $730.75	Facility		$116.51	$374.94	$730.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $199.63 / $239.18	Professional		$86.90	$199.63	$239.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $262.33 / $778.81 / $778.81	Facility		$262.33	$778.81	$778.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $819.80 / $1,229.70	Professional		$819.80	$819.80	$1,229.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $163.96 / $245.94	Facility		$98.38	$163.96	$245.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $163.96 / $245.94	Professional		$155.76	$163.96	$245.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $204.95 / $573.86	Professional		$106.57	$204.95	$573.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.37 / $180.36 / $595.41	Facility		$111.37	$180.36	$595.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $204.95 / $253.03	Professional		$147.56	$204.95	$253.03
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $85.02 / $121.45	Professional		$68.86	$85.02	$121.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $163.96	Professional		$80.97	$80.97	$163.96