Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Facility		$125.89	$125.89	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $134.90	Professional		$97.72	$120.23	$134.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $125.89	Facility		$117.49	$120.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $186.21	Professional		$147.91	$154.88	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $229.09	Facility		$141.25	$141.25	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $229.09	Professional		$147.91	$194.98	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $302.00	Professional		$204.17	$245.47	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $398.11	Facility		$120.23	$151.36	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89