Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.78 / $1,396.48 / $3,873.39	Facility		$568.78	$1,396.48	$3,873.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.87 / $561.29 / $898.07	Professional		$407.87	$561.29	$898.07
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 $486.45 / $1,756.43 / $3,333.75	Facility		$486.45	$1,756.43	$3,333.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.90 / $911.90 / $1,092.55	Professional		$911.90	$911.90	$1,092.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.42 / $3,554.85 / $3,554.85	Facility		$1,197.42	$3,554.85	$3,554.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,726.98 / $3,726.98 / $5,612.93	Professional		$3,726.98	$3,726.98	$5,612.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.03 / $748.39 / $1,095.51	Facility		$449.03	$748.39	$1,095.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $748.39 / $935.49	Professional		$748.39	$748.39	$935.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.45 / $935.49 / $2,619.36	Professional		$486.45	$935.49	$2,619.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $770.54 / $2,695.84	Facility		$501.15	$770.54	$2,695.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.33 / $935.49 / $1,309.68	Professional		$707.33	$935.49	$1,309.68
United Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $314.32 / $461.01	Professional		$314.32	$314.32	$461.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $748.39	Professional		$335.33	$335.33	$748.39