Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $131.83 / $416.87	Facility		$56.23	$131.83	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $100.00	Professional		$56.23	$72.44	$100.00
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 $64.57 / $169.82 / $407.38	Facility		$64.57	$169.82	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $134.90	Professional		$48.98	$112.20	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $691.83	Professional		$457.09	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $181.97	Facility		$69.18	$93.33	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $114.82	Professional		$54.95	$72.44	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $194.98	Professional		$89.13	$100.00	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $269.15	Facility		$64.57	$100.00	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $169.82	Professional		$48.98	$100.00	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $91.20	Facility		$33.11	$38.90	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $67.61	Professional		$38.90	$47.86	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $91.20 / $91.20	Professional		$35.48	$91.20	$91.20