Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $83.01 / $99.98	Facility		$62.91	$83.01	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $89.35 / $115.76	Professional		$74.95	$89.35	$115.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.53 / $75.53 / $82.48	Facility		$75.53	$75.53	$82.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $112.87 / $181.59	Professional		$85.01	$112.87	$181.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.22 / $530.40 / $761.17	Facility		$205.22	$530.40	$761.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $931.22 / $931.22 / $931.22	Professional		$931.22	$931.22	$931.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $107.99 / $189.66	Facility		$83.01	$107.99	$189.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $122.89 / $157.63	Professional		$93.23	$122.89	$157.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $175.80 / $219.20	Professional		$149.30	$175.80	$219.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $108.37 / $197.86	Facility		$83.01	$108.37	$197.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $122.40 / $220.24	Professional		$87.32	$122.40	$220.24
United Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $94.46 / $143.93	Professional		$71.68	$94.46	$143.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $84.98 / $116.65	Professional		$72.33	$84.98	$116.65