Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $234.42 / $741.31	Facility		$102.33	$234.42	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $181.97	Professional		$100.00	$131.83	$181.97
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 Facility Modifier Low / Median / High Price $117.49 / $302.00 / $724.44	Facility		$117.49	$302.00	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $239.88	Professional		$87.10	$199.53	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,230.27	Professional		$812.83	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $323.59	Facility		$123.03	$165.96	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $204.17	Professional		$97.72	$131.83	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $346.74	Professional		$158.49	$177.83	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $478.63	Facility		$117.49	$177.83	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $309.03	Professional		$87.10	$181.97	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $162.18	Facility		$58.88	$69.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $120.23	Professional		$69.18	$85.11	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $162.18 / $162.18	Professional		$64.57	$162.18	$162.18