Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $324.47 / $902.21	Facility		$111.12	$324.47	$902.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $122.23 / $157.41	Professional		$103.71	$122.23	$157.41
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 $120.38 / $434.66 / $825.86	Facility		$120.38	$434.66	$825.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $225.89 / $270.64	Professional		$225.89	$225.89	$270.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.32 / $879.70 / $879.70	Facility		$296.32	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $922.30 / $922.30 / $1,389.00	Professional		$922.30	$922.30	$1,389.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $185.20 / $271.20	Facility		$111.12	$185.20	$271.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $231.50	Professional		$185.20	$185.20	$231.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $231.50 / $648.20	Professional		$120.38	$231.50	$648.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $190.68 / $666.79	Facility		$124.02	$190.68	$666.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $224.09 / $324.10	Professional		$175.15	$224.09	$324.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $111.12	Professional		$77.78	$77.78	$111.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $228.90 / $250.02	Professional		$185.20	$228.90	$250.02