Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.63 / $112.11 / $1,192.77	Facility		$86.63	$112.11	$1,192.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $111.42 / $218.33	Professional		$86.63	$111.42	$218.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.45 / $127.80 / $135.36	Facility		$122.45	$127.80	$135.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $351.55 / $1,013.26	Facility		$142.24	$351.55	$1,013.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $161.38 / $291.79	Professional		$104.84	$161.38	$291.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $293.85 / $650.40 / $668.80	Facility		$293.85	$650.40	$668.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.00 / $1,174.00 / $1,174.00	Professional		$1,174.00	$1,174.00	$1,174.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $210.32 / $295.25	Facility		$123.35	$210.32	$295.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $209.22 / $301.52	Professional		$123.35	$209.22	$301.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $102.83 / $208.27	Professional		$60.94	$102.83	$208.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.88 / $227.54 / $404.24	Facility		$123.88	$227.54	$404.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $161.78 / $306.64	Professional		$105.70	$161.78	$306.64
United Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $159.77 / $243.83	Professional		$121.91	$159.77	$243.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $123.35 / $172.44	Professional		$108.22	$123.35	$172.44