Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $481.51 / $1,338.86	Facility		$164.90	$481.51	$1,338.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $181.39 / $233.61	Professional		$153.90	$181.39	$233.61
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 $162.60 / $645.02 / $1,224.47	Facility		$162.60	$645.02	$1,224.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $334.90 / $401.25	Professional		$334.90	$334.90	$401.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $1,305.44 / $1,305.44	Facility		$439.73	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.65 / $1,368.65 / $2,061.23	Professional		$1,368.65	$1,368.65	$2,061.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $274.83 / $402.45	Facility		$164.90	$274.83	$402.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $343.54	Professional		$274.83	$274.83	$343.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $343.54 / $961.90	Professional		$178.64	$343.54	$961.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.73 / $282.97 / $989.60	Facility		$170.73	$282.97	$989.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $332.54 / $431.41	Professional		$258.85	$332.54	$431.41
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $164.90	Professional		$103.54	$103.54	$164.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $274.83	Professional		$109.93	$109.93	$274.83