Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $645.65 / $2,041.74	Facility		$295.12	$645.65	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $501.19	Professional		$269.15	$338.84	$501.19
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 $295.12 / $831.76 / $1,995.26	Facility		$295.12	$831.76	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $660.69	Professional		$239.88	$549.54	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $3,388.44	Professional		$2,238.72	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $851.14	Facility		$316.23	$446.68	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $562.34	Professional		$269.15	$363.08	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $954.99	Professional		$446.68	$489.78	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $1,258.93	Facility		$316.23	$467.74	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $794.33	Professional		$239.88	$478.63	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $446.68	Facility		$162.18	$190.55	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Professional		$190.55	$190.55	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $446.68	Professional		$177.83	$446.68	$446.68