Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $75.41 / $75.41	Facility		$70.86	$75.41	$75.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $75.41 / $95.27	Professional		$70.86	$75.41	$95.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.84 / $88.84 / $93.31	Facility		$88.84	$88.84	$93.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility		$105.82	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.34 / $449.39 / $449.39	Facility		$155.34	$449.39	$449.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.22 / $567.27 / $724.28	Professional		$558.22	$567.27	$724.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $90.64 / $201.31	Facility		$71.15	$90.64	$201.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $125.24 / $160.65	Professional		$101.31	$125.24	$160.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $216.40 / $216.40	Professional		$176.10	$216.40	$216.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $90.66 / $201.31	Facility		$71.15	$90.66	$201.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $210.81	Professional		$79.45	$79.45	$210.81
United Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $99.90 / $153.34	Professional		$72.16	$99.90	$153.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $86.47 / $120.19	Professional		$73.70	$86.47	$120.19