Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $82.00 / $82.00	Facility		$80.00	$82.00	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $82.00 / $85.00	Professional		$80.00	$82.00	$85.00
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 $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $200.00 / $375.00	Facility		$100.00	$200.00	$375.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $450.00	Professional		$380.00	$380.00	$450.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $100.00 / $173.84	Facility		$81.59	$100.00	$173.84
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 $82.00 / $100.00 / $173.84	Facility		$82.00	$100.00	$173.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $160.91	Professional		$160.91	$160.91	$160.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $114.75	Professional		$85.00	$85.00	$114.75