Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $718.15 / $2,121.44	Facility		$311.52	$718.15	$2,121.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.22 / $311.52 / $430.40	Professional		$248.22	$311.52	$430.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $937.34 / $1,826.90	Facility		$291.26	$937.34	$1,826.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $499.07 / $597.94	Professional		$217.25	$499.07	$597.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $655.84 / $1,947.03 / $1,947.03	Facility		$655.84	$1,947.03	$1,947.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.50 / $2,049.50 / $3,074.25	Professional		$2,049.50	$2,049.50	$3,074.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.04 / $409.90 / $614.85	Facility		$250.04	$409.90	$614.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.41 / $409.90 / $512.38	Professional		$389.41	$409.90	$512.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $512.38 / $1,434.65	Professional		$266.44	$512.38	$1,434.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.43 / $445.47 / $1,487.36	Facility		$278.43	$445.47	$1,487.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $495.98 / $766.51	Professional		$266.44	$495.98	$766.51
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $191.29 / $273.27	Professional		$172.16	$191.29	$273.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $159.86 / $409.90	Professional		$80.97	$159.86	$409.90