Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $1,862.09	Facility		$245.47	$588.84	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $426.58	Professional		$245.47	$309.03	$426.58
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 $263.03 / $588.84 / $1,819.70	Facility		$263.03	$588.84	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Professional		$501.19	$501.19	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $758.58	Facility		$309.03	$407.38	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $512.86	Professional		$245.47	$331.13	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $870.96	Professional		$407.38	$436.52	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $1,122.02	Facility		$288.40	$407.38	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $707.95	Professional		$363.08	$446.68	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $407.38	Facility		$147.91	$169.82	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $281.84	Professional		$169.82	$169.82	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $407.38 / $407.38	Professional		$67.61	$407.38	$407.38