Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $386.85 / $1,181.31	Facility		$153.41	$386.85	$1,181.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $153.41 / $322.48	Professional		$116.09	$153.41	$322.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $207.31 / $207.31	Facility		$80.00	$207.31	$207.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.93 / $486.54 / $1,262.24	Facility		$271.93	$486.54	$1,262.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $210.92 / $425.58	Professional		$106.65	$210.92	$425.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.70 / $984.72 / $984.72	Facility		$331.70	$984.72	$984.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.30 / $1,488.30 / $1,554.83	Professional		$1,488.30	$1,488.30	$1,554.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $207.31 / $362.79	Facility		$126.46	$207.31	$362.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $207.31 / $259.14	Professional		$196.94	$207.31	$259.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $248.77 / $466.45	Professional		$134.75	$248.77	$466.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $299.45 / $926.73	Facility		$153.41	$299.45	$926.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $243.13 / $403.11	Professional		$117.43	$243.13	$403.11
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $181.18	Professional		$87.07	$124.39	$181.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $107.39 / $207.31	Professional		$102.38	$107.39	$207.31