Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $760.27 / $2,108.71	Facility		$309.64	$760.27	$2,108.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $228.16 / $305.57	Professional		$134.35	$228.16	$305.57
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 $164.22 / $625.59 / $1,814.84	Facility		$164.22	$625.59	$1,814.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $496.44 / $594.79	Professional		$118.33	$496.44	$594.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $651.89 / $1,935.29 / $1,935.29	Facility		$651.89	$1,935.29	$1,935.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,029.00 / $2,029.00 / $3,055.73	Professional		$2,029.00	$2,029.00	$3,055.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.46 / $407.43 / $550.03	Facility		$244.46	$407.43	$550.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.06 / $415.58 / $611.15	Professional		$387.06	$415.58	$611.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $509.29 / $1,426.01	Professional		$264.83	$509.29	$1,426.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.16 / $427.80 / $1,364.89	Facility		$228.16	$427.80	$1,364.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $492.99 / $713.00	Professional		$144.21	$492.99	$713.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $171.12	Professional		$103.54	$103.54	$171.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $98.61 / $407.43	Professional		$98.61	$98.61	$407.43