Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.92 / $234.92 / $253.71	Facility		$234.92	$234.92	$253.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $253.71 / $469.83	Professional		$234.92	$253.71	$469.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $536.57 / $536.57 / $536.57	Facility		$536.57	$536.57	$536.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $365.10	Professional		$266.52	$266.52	$365.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,633.25 / $3,052.68 / $3,052.68	Facility		$2,633.25	$3,052.68	$3,052.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,084.82 / $3,084.82 / $4,820.03	Professional		$3,084.82	$3,084.82	$4,820.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $373.93 / $536.57	Facility		$155.24	$373.93	$536.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $482.91 / $554.05	Professional		$156.99	$482.91	$554.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $410.48 / $547.29 / $1,207.28	Professional		$410.48	$547.29	$1,207.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $365.10 / $536.57	Facility		$155.24	$365.10	$536.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $376.05	Professional		$266.52	$266.52	$376.05
United Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $296.44 / $364.84	Professional		$200.39	$296.44	$364.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $294.47 / $536.57	Professional		$291.67	$294.47	$536.57