Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $3,570.00 / $10,893.00	Facility		$160.80	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $109.78 / $164.10	Professional		$96.91	$109.78	$164.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $93.28 / $93.28 / $97.69	Facility		$93.28	$93.28	$97.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $2,024.00 / $4,619.00	Facility		$120.98	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $145.59 / $225.96	Professional		$110.26	$145.59	$225.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.66 / $1,061.66 / $1,061.66	Professional		$1,061.66	$1,061.66	$1,061.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $130.65 / $238.37	Facility		$101.55	$130.65	$238.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $157.38 / $185.15	Professional		$118.29	$157.38	$185.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $165.00 / $264.80	Professional		$27.40	$165.00	$264.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.71 / $132.01 / $256.80	Facility		$101.71	$132.01	$256.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $153.56 / $266.27	Professional		$113.33	$153.56	$266.27
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $118.06 / $189.24	Professional		$86.92	$118.06	$189.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $101.92 / $137.34	Professional		$87.79	$101.92	$137.34