Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.86 / $1,230.08 / $3,389.32	Facility		$521.86	$1,230.08	$3,389.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.21 / $414.17 / $559.13	Professional		$376.21	$414.17	$559.13
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 $448.69 / $1,620.08 / $3,075.56	Facility		$448.69	$1,620.08	$3,075.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.98 / $840.98 / $1,007.58	Professional		$840.98	$840.98	$1,007.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.46 / $3,278.88 / $3,278.88	Facility		$1,104.46	$3,278.88	$3,278.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,437.64 / $3,437.64 / $5,177.18	Professional		$3,437.64	$3,437.64	$5,177.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $414.17 / $690.29 / $1,010.22	Facility		$414.17	$690.29	$1,010.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $690.29 / $862.86	Professional		$690.29	$690.29	$862.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.69 / $862.86 / $2,416.01	Professional		$448.69	$862.86	$2,416.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.25 / $710.72 / $2,486.44	Facility		$462.25	$710.72	$2,486.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $652.30 / $835.25 / $1,208.01	Professional		$652.30	$835.25	$1,208.01
United Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $289.92 / $441.79	Professional		$289.92	$289.92	$441.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $690.29	Professional		$335.33	$335.33	$690.29