Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.24 / $709.08 / $1,966.73	Facility		$303.24	$709.08	$1,966.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $285.00 / $357.20	Professional		$207.10	$285.00	$357.20
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 $253.13 / $872.45 / $1,692.53	Facility		$253.13	$872.45	$1,692.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $463.17 / $554.92	Professional		$201.40	$463.17	$554.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,805.00 / $1,805.00	Facility		$608.00	$1,805.00	$1,805.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $2,850.00	Professional		$1,900.00	$1,900.00	$2,850.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $380.00 / $534.65	Facility		$228.00	$380.00	$534.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.00 / $380.00 / $475.00	Professional		$361.00	$380.00	$475.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $475.00 / $1,330.00	Professional		$247.00	$475.00	$1,330.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.12 / $399.07 / $1,368.48	Facility		$258.12	$399.07	$1,368.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $456.00 / $665.00	Professional		$304.00	$456.00	$665.00
United Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $380.00 / $456.00	Facility		$159.60	$380.00	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $159.60 / $243.20	Professional		$159.60	$159.60	$243.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $380.00 / $1,246.40	Professional		$196.84	$380.00	$1,246.40