Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.03 / $159.78 / $802.90	Facility		$113.03	$159.78	$802.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $158.11 / $207.64	Professional		$113.03	$158.11	$207.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $302.44	Facility		$183.96	$183.96	$302.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $429.90 / $1,184.14 / $1,227.31	Facility		$429.90	$1,184.14	$1,227.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.95 / $1,301.95 / $1,892.40	Professional		$1,301.95	$1,301.95	$1,892.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $185.77 / $453.52	Facility		$124.77	$185.77	$453.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $204.50 / $204.50	Professional		$204.50	$204.50	$204.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $304.39 / $304.39	Professional		$304.39	$304.39	$304.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.90 / $183.96 / $453.52	Facility		$124.90	$183.96	$453.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $215.05	Professional		$215.05	$215.05	$215.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $140.00	Professional		$100.00	$100.00	$140.00