Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $155.80 / $155.80	Facility		$152.00	$155.80	$155.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $155.80 / $161.50	Professional		$152.00	$155.80	$161.50
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 $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $380.00 / $712.50	Facility		$180.50	$380.00	$712.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $722.00 / $855.00	Professional		$722.00	$722.00	$855.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $65.92 / $330.30	Facility		$65.92	$65.92	$330.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $148.10 / $302.94	Professional		$72.51	$148.10	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $152.00 / $330.30	Facility		$65.92	$152.00	$330.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $167.51	Professional		$167.51	$167.51	$167.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $88.99	Professional		$65.92	$65.92	$88.99