Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.60 / $790.01 / $2,213.96	Facility		$297.60	$790.01	$2,213.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.51 / $297.60 / $383.27	Professional		$252.51	$297.60	$383.27
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 $300.37 / $1,034.77 / $2,009.62	Facility		$300.37	$1,034.77	$2,009.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $549.41 / $658.26	Professional		$238.98	$549.41	$658.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $721.46 / $2,141.82 / $2,141.82	Facility		$721.46	$2,141.82	$2,141.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.55 / $2,254.55 / $3,381.83	Professional		$2,254.55	$2,254.55	$3,381.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.55 / $450.91 / $634.16	Facility		$270.55	$450.91	$634.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $450.91 / $563.64	Professional		$428.36	$450.91	$563.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $563.64 / $1,578.18	Professional		$293.08	$563.64	$1,578.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.27 / $473.46 / $1,623.98	Facility		$306.27	$473.46	$1,623.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $541.09 / $789.09	Professional		$360.73	$541.09	$789.09
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $288.58	Professional		$189.38	$189.38	$288.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $450.91	Professional		$180.36	$180.36	$450.91