Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $223.87	Facility		$79.43	$102.33	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $204.17	Professional		$81.28	$107.15	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Facility		$50.12	$50.12	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $389.05	Facility		$72.44	$169.82	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $204.17	Professional		$75.86	$109.65	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Professional		$776.25	$776.25	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $223.87	Facility		$60.26	$125.89	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $229.09	Professional		$79.43	$104.71	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $87.10	Professional		$32.36	$41.69	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $181.97	Professional		$131.83	$181.97	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $229.09	Facility		$66.07	$128.82	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $346.74	Professional		$75.86	$107.15	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $165.96 / $218.78	Facility		$85.11	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $371.54	Professional		$100.00	$158.49	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $147.91	Professional		$117.49	$123.03	$147.91