Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $1,862.09	Facility		$245.47	$588.84	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $380.19	Professional		$147.91	$302.00	$380.19
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 $169.82 / $467.74 / $1,819.70	Facility		$169.82	$467.74	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $501.19 / $588.84	Professional		$117.49	$501.19	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $812.83	Facility		$275.42	$416.87	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $489.78	Professional		$229.09	$309.03	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $870.96	Professional		$407.38	$436.52	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $1,122.02	Facility		$223.87	$407.38	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $426.58 / $707.95	Professional		$117.49	$426.58	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $407.38	Facility		$147.91	$169.82	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $407.38 / $407.38	Professional		$95.50	$407.38	$407.38