Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $733.38 / $2,108.71	Facility		$309.64	$733.38	$2,108.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $228.16 / $305.57	Professional		$222.05	$228.16	$305.57
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 $264.83 / $956.22 / $1,814.84	Facility		$264.83	$956.22	$1,814.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.44 / $496.44 / $594.79	Professional		$496.44	$496.44	$594.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $651.89 / $1,935.29 / $1,935.29	Facility		$651.89	$1,935.29	$1,935.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,029.00 / $2,029.00 / $3,055.73	Professional		$2,029.00	$2,029.00	$3,055.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.46 / $407.43 / $596.52	Facility		$244.46	$407.43	$596.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $509.29	Professional		$407.43	$407.43	$509.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $509.29 / $1,426.01	Professional		$264.83	$509.29	$1,426.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $419.49 / $1,466.94	Facility		$272.83	$419.49	$1,466.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.15 / $492.99 / $713.00	Professional		$385.15	$492.99	$713.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $171.12 / $244.46	Professional		$171.12	$171.12	$244.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $407.43	Professional		$98.11	$98.11	$407.43