Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $436.52 / $1,380.38	Facility		$181.97	$436.52	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $331.13	Professional		$181.97	$229.09	$331.13
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 $194.98 / $436.52 / $1,348.96	Facility		$194.98	$436.52	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $436.52	Professional		$371.54	$371.54	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $562.34	Facility		$229.09	$302.00	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $380.19	Professional		$181.97	$239.88	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $645.65	Professional		$302.00	$323.59	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $831.76	Facility		$208.93	$302.00	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $524.81	Professional		$269.15	$331.13	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $302.00	Facility		$109.65	$125.89	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $208.93	Professional		$125.89	$125.89	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $302.00	Professional		$281.84	$302.00	$302.00