Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $495.61 / $1,378.09	Facility		$169.73	$495.61	$1,378.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $186.70 / $240.45	Professional		$158.41	$186.70	$240.45
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 $186.17 / $643.54 / $1,260.72	Facility		$186.17	$643.54	$1,260.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $344.97 / $413.31	Professional		$344.97	$344.97	$413.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $452.61 / $1,343.68 / $1,343.68	Facility		$452.61	$1,343.68	$1,343.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,408.74 / $2,121.60	Professional		$1,408.74	$1,408.74	$2,121.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $282.88 / $417.26	Facility		$169.73	$282.88	$417.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $353.60	Professional		$282.88	$282.88	$353.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $353.60 / $990.08	Professional		$183.87	$353.60	$990.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $283.17 / $855.04	Facility		$183.87	$283.17	$855.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $339.46 / $495.04	Professional		$254.59	$339.46	$495.04
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $181.04	Professional		$118.81	$118.81	$181.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $282.88 / $288.83	Professional		$253.46	$282.88	$288.83