Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $96.25 / $140.00	Facility		$96.25	$96.25	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $127.75 / $191.00	Professional		$72.00	$127.75	$191.00
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 $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.65 / $442.50 / $458.61	Facility		$160.65	$442.50	$458.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $542.51 / $542.51 / $707.18	Professional		$542.51	$542.51	$707.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $140.00 / $278.25	Facility		$78.66	$140.00	$278.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $76.42 / $76.42	Professional		$76.42	$76.42	$76.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.80 / $393.80 / $393.80	Professional		$323.80	$393.80	$393.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $140.00 / $277.72	Facility		$78.66	$140.00	$277.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $97.65 / $156.47	Professional		$72.00	$97.65	$156.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $191.00 / $267.39	Professional		$40.25	$191.00	$267.39