Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $527.97 / $1,468.08	Facility		$180.81	$527.97	$1,468.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $198.89 / $256.14	Professional		$168.76	$198.89	$256.14
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 $195.88 / $707.26 / $1,342.23	Facility		$195.88	$707.26	$1,342.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.30 / $367.30 / $440.06	Professional		$367.30	$367.30	$440.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $1,431.41 / $1,431.41	Facility		$482.16	$1,431.41	$1,431.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.72 / $1,500.72 / $2,260.13	Professional		$1,500.72	$1,500.72	$2,260.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $301.35 / $441.26	Facility		$180.81	$301.35	$441.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $376.69	Professional		$301.35	$301.35	$376.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $376.69 / $1,054.72	Professional		$195.88	$376.69	$1,054.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.80 / $310.27 / $1,085.56	Facility		$201.80	$310.27	$1,085.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $364.63 / $527.36	Professional		$284.89	$364.63	$527.36
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $192.86	Professional		$126.57	$126.57	$192.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $301.35	Professional		$228.90	$228.90	$301.35