Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $121.56 / $801.00	Facility		$60.50	$121.56	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $93.86 / $126.36	Professional		$60.50	$93.86	$126.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $89.78 / $105.88	Facility		$89.78	$89.78	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.50 / $502.69 / $521.03	Facility		$182.50	$502.69	$521.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.59 / $775.42 / $803.33	Professional		$745.59	$775.42	$803.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.53 / $111.44 / $184.70	Facility		$72.53	$111.44	$184.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $86.81 / $89.34	Professional		$86.81	$86.81	$89.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $84.90 / $106.61	Professional		$76.76	$84.90	$106.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.53 / $111.44 / $184.70	Facility		$72.53	$111.44	$184.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
United Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $106.38 / $164.34	Professional		$77.34	$106.38	$164.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $115.39 / $161.55	Professional		$115.39	$115.39	$161.55