Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $103.09 / $105.07	Facility		$101.11	$103.09	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $105.07 / $170.50	Professional		$95.16	$105.07	$170.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $226.41 / $226.41 / $226.41	Facility		$226.41	$226.41	$226.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $136.19	Professional		$99.43	$99.43	$136.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.92 / $1,234.72 / $1,234.72	Facility		$1,062.92	$1,234.72	$1,234.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.71 / $1,247.71 / $1,512.75	Professional		$1,247.71	$1,247.71	$1,512.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $156.66 / $226.41	Facility		$64.95	$156.66	$226.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $203.77 / $226.41	Professional		$64.95	$203.77	$226.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $237.73 / $242.49	Professional		$237.73	$237.73	$242.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $151.29 / $226.41	Facility		$64.95	$151.29	$226.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $145.19	Professional		$99.43	$99.43	$145.19
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $121.27 / $144.36	Professional		$83.86	$121.27	$144.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $122.85 / $226.41	Professional		$120.84	$122.85	$226.41