Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $676.08 / $2,137.96	Facility		$281.84	$676.08	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $501.19	Professional		$281.84	$354.81	$501.19
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 $302.00 / $676.08 / $2,089.30	Facility		$302.00	$676.08	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Professional		$575.44	$575.44	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $3,548.13	Professional		$2,344.23	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $870.96	Facility		$354.81	$467.74	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $588.84	Professional		$281.84	$380.19	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $1,000.00	Professional		$467.74	$501.19	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $467.74 / $1,288.25	Facility		$331.13	$467.74	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $812.83	Professional		$416.87	$512.86	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $467.74	Facility		$169.82	$194.98	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $323.59	Professional		$194.98	$194.98	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $467.74 / $467.74	Professional		$181.97	$467.74	$467.74