Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $99.17 / $99.17	Facility		$96.75	$99.17	$99.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $99.17 / $102.80	Professional		$96.75	$99.17	$102.80
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 $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $241.88 / $453.53	Facility		$120.94	$241.88	$453.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $459.57 / $459.57 / $544.23	Professional		$459.57	$459.57	$544.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.69 / $120.94 / $210.24	Facility		$98.69	$120.94	$210.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.17 / $120.94 / $210.24	Facility		$99.17	$120.94	$210.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $102.09	Professional		$100.78	$100.78	$102.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $138.78	Professional		$102.80	$102.80	$138.78