Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $197.39 / $201.18	Facility		$193.59	$197.39	$201.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $201.18 / $323.33	Professional		$191.36	$201.18	$323.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $353.45 / $353.45 / $353.45	Facility		$353.45	$353.45	$353.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $677.29 / $1,660.98 / $1,660.98	Facility		$677.29	$1,660.98	$1,660.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.42 / $2,650.28 / $2,650.28	Professional		$2,581.42	$2,650.28	$2,650.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $318.58 / $367.46	Facility		$120.22	$318.58	$367.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $300.43 / $406.47	Professional		$149.78	$300.43	$406.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.12 / $371.12 / $381.14	Professional		$371.12	$371.12	$381.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $292.79 / $382.03	Facility		$120.22	$292.79	$382.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
United Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $323.33 / $404.17	Professional		$214.69	$323.33	$404.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $327.38 / $353.45	Professional		$311.77	$327.38	$353.45