Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.01 / $156.01 / $159.01	Facility		$153.01	$156.01	$159.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $159.01 / $258.02	Professional		$144.78	$159.01	$258.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $342.63 / $342.63 / $342.63	Facility		$342.63	$342.63	$342.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $227.96	Professional		$166.41	$166.41	$227.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.58 / $1,593.03 / $1,593.03	Facility		$572.58	$1,593.03	$1,593.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,495.10 / $4,160.85 / $4,327.29	Professional		$2,495.10	$4,160.85	$4,327.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $237.06 / $342.63	Facility		$98.06	$237.06	$342.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $308.37 / $342.63	Professional		$98.06	$308.37	$342.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $359.76 / $366.95	Professional		$359.76	$359.76	$366.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $228.94 / $342.63	Facility		$98.06	$228.94	$342.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $234.80	Professional		$166.41	$166.41	$234.80
United Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $183.05 / $217.91	Professional		$126.58	$183.05	$217.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $185.44 / $342.63	Professional		$182.41	$185.44	$342.63