Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.61 / $2,284.52 / $6,402.39	Facility		$860.61	$2,284.52	$6,402.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.21 / $821.49 / $1,056.20	Professional		$730.21	$821.49	$1,056.20
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 $744.73 / $2,593.56 / $5,809.88	Facility		$744.73	$2,593.56	$5,809.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.53 / $1,588.27 / $1,902.92	Professional		$592.53	$1,588.27	$1,902.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,086.32 / $6,193.76 / $6,193.76	Facility		$2,086.32	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $782.37 / $1,303.95 / $1,760.33	Facility		$782.37	$1,303.95	$1,760.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.75 / $1,330.03 / $1,955.93	Professional		$1,238.75	$1,330.03	$1,955.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $1,629.94 / $4,563.82	Professional		$847.57	$1,629.94	$4,563.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.37 / $1,369.15 / $3,818.30	Facility		$782.37	$1,369.15	$3,818.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $1,577.78 / $2,281.91	Professional		$894.38	$1,577.78	$2,281.91
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $1,117.98	Professional		$469.55	$469.55	$1,117.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $436.01 / $1,303.95	Professional		$288.83	$436.01	$1,303.95