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 $245.47 / $316.23 / $436.52	Professional		$245.47	$316.23	$436.52
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 $288.40 / $758.58 / $1,819.70	Facility		$288.40	$758.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $501.19 / $602.56	Professional		$218.78	$501.19	$602.56
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 $309.03 / $416.87 / $758.58	Facility		$309.03	$416.87	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $512.86	Professional		$245.47	$323.59	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $870.96	Professional		$398.11	$446.68	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $1,202.26	Facility		$288.40	$436.52	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $758.58	Professional		$218.78	$446.68	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $407.38	Facility		$147.91	$173.78	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $281.84	Professional		$173.78	$190.55	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $407.38 / $407.38	Professional		$158.49	$407.38	$407.38