Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $213.80 / $676.08	Facility		$89.13	$213.80	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $165.96	Professional		$89.13	$114.82	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $269.15 / $660.69	Facility		$97.72	$269.15	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $165.96 / $199.53	Professional		$72.44	$165.96	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,122.02	Professional		$758.58	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $281.84	Facility		$112.20	$151.36	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $186.21	Professional		$89.13	$120.23	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $338.84	Professional		$151.36	$181.97	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $436.52	Facility		$107.15	$158.49	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $263.03	Professional		$79.43	$158.49	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Professional		$63.10	$63.10	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $151.36	Professional		$58.88	$151.36	$151.36