Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.74 / $304.75 / $642.21	Facility		$278.74	$304.75	$642.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $304.75 / $353.07	Professional		$297.32	$304.75	$353.07
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 $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $337.86 / $1,641.45 / $1,641.45	Facility		$337.86	$1,641.45	$1,641.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.67 / $1,255.67 / $1,255.67	Professional		$1,255.67	$1,255.67	$1,255.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $308.47 / $431.02	Facility		$13.15	$308.47	$431.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $215.40 / $278.74	Professional		$119.82	$215.40	$278.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $254.20 / $306.20	Professional		$27.40	$254.20	$306.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $309.20 / $431.02	Facility		$13.34	$309.20	$431.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $337.81	Professional		$321.72	$321.72	$337.81
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $328.29 / $344.77	Professional		$309.70	$328.29	$344.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $450.41	Professional		$321.72	$321.72	$450.41