Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.53 / $235.00 / $658.58	Facility		$88.53	$235.00	$658.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $88.53 / $107.30	Professional		$75.11	$88.53	$107.30
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 $86.43 / $314.77 / $711.34	Facility		$86.43	$314.77	$711.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $163.72 / $196.17	Professional		$71.09	$163.72	$196.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.61 / $637.12 / $637.12	Facility		$214.61	$637.12	$637.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $670.65 / $670.65 / $1,005.98	Professional		$670.65	$670.65	$1,005.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $134.13 / $201.20	Facility		$81.81	$134.13	$201.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $134.13 / $167.66	Professional		$127.42	$134.13	$167.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $167.66 / $469.45	Professional		$87.18	$167.66	$469.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $134.13 / $405.53	Facility		$89.82	$134.13	$405.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $160.96 / $193.15	Professional		$107.30	$160.96	$193.15
United Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $134.13 / $160.96	Facility		$56.33	$134.13	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $85.84	Professional		$56.33	$56.33	$85.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $134.13 / $279.68	Professional		$69.48	$134.13	$279.68