Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $269.15 / $851.14	Facility		$112.20	$269.15	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $204.17	Professional		$112.20	$141.25	$204.17
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 $120.23 / $263.03 / $831.76	Facility		$120.23	$263.03	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,380.38	Professional		$912.01	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $346.74	Facility		$141.25	$186.21	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $229.09	Professional		$112.20	$151.36	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $398.11	Professional		$186.21	$199.53	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $512.86	Facility		$128.82	$186.21	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $323.59	Professional		$165.96	$204.17	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $186.21	Facility		$66.07	$77.62	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $125.89	Professional		$77.62	$77.62	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $281.84	Professional		$186.21	$186.21	$281.84