Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $317.23 / $323.33	Facility		$311.13	$317.23	$323.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $323.33 / $456.46	Professional		$294.35	$323.33	$456.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $696.71 / $696.71 / $696.71	Facility		$696.71	$696.71	$696.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $437.50	Professional		$319.38	$319.38	$437.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.24 / $3,239.07 / $3,239.07	Facility		$1,164.24	$3,239.07	$3,239.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,488.94 / $3,488.94 / $5,072.93	Professional		$3,488.94	$3,488.94	$5,072.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.33 / $592.20 / $696.71	Facility		$323.33	$592.20	$696.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.43 / $640.97 / $696.71	Professional		$453.43	$640.97	$696.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $639.58 / $731.55 / $1,219.24	Professional		$639.58	$731.55	$1,219.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.95 / $453.43 / $696.71	Facility		$348.95	$453.43	$696.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $562.41	Professional		$319.38	$319.38	$562.41
United Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $387.62 / $484.53	Professional		$257.38	$387.62	$484.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $392.47 / $696.71	Professional		$373.77	$392.47	$696.71