Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $147.22 / $148.69	Facility		$147.22	$147.22	$148.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $147.22 / $148.69	Professional		$45.70	$147.22	$148.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $181.78 / $520.84	Facility		$147.22	$181.78	$520.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.12 / $548.62 / $625.01	Professional		$486.12	$548.62	$625.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $147.22 / $147.22	Facility		$46.61	$147.22	$147.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $331.25	Professional		$148.10	$205.54	$331.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $147.22 / $312.11	Facility		$48.56	$147.22	$312.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $57.13	Professional		$48.56	$48.56	$57.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $57.87	Professional		$57.13	$57.13	$57.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $147.22 / $198.75	Professional		$147.22	$147.22	$198.75