Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $549.54 / $1,737.80	Facility		$245.47	$549.54	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $416.87	Professional		$229.09	$288.40	$416.87
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 $245.47 / $691.83 / $1,698.24	Facility		$245.47	$691.83	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $549.54	Professional		$199.53	$467.74	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $2,818.38	Professional		$1,905.46	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $707.95	Facility		$263.03	$380.19	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $478.63	Professional		$229.09	$302.00	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $812.83	Professional		$380.19	$407.38	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $1,122.02	Facility		$269.15	$398.11	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $660.69	Professional		$199.53	$398.11	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $158.49 / $380.19	Facility		$138.04	$158.49	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $263.03	Professional		$158.49	$158.49	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $380.19 / $380.19	Professional		$147.91	$380.19	$380.19