Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $128.82 / $323.59	Facility		$51.29	$128.82	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $83.18	Professional		$40.74	$53.70	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $79.43	Facility		$69.18	$69.18	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $128.82 / $288.40	Facility		$41.69	$128.82	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $125.89	Professional		$30.90	$64.57	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $512.86	Professional		$338.84	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $128.82	Facility		$51.29	$69.18	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $53.70 / $85.11	Professional		$7.08	$53.70	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $144.54	Professional		$69.18	$74.13	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $218.78	Facility		$46.77	$74.13	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $64.57 / $120.23	Professional		$31.62	$64.57	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $69.18	Facility		$24.55	$28.84	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $46.77	Professional		$25.12	$28.84	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $69.18	Professional		$26.92	$57.54	$69.18