Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $147.60 / $147.60	Facility		$144.00	$147.60	$147.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $147.60 / $153.00	Professional		$144.00	$147.60	$153.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $360.00 / $675.00	Facility		$171.00	$360.00	$675.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $810.00	Professional		$684.00	$684.00	$810.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $180.00 / $312.91	Facility		$146.88	$180.00	$312.91
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 $147.60 / $180.00 / $312.91	Facility		$147.60	$180.00	$312.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $103.13 / $139.22	Professional		$103.13	$103.13	$139.22