Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.93 / $873.91 / $2,423.88	Facility		$355.93	$873.91	$2,423.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $346.56 / $398.08	Professional		$255.24	$346.56	$398.08
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 $304.41 / $1,099.13 / $2,086.63	Facility		$304.41	$1,099.13	$2,086.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $570.42 / $683.44	Professional		$570.42	$570.42	$683.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $749.33 / $2,224.57 / $2,224.57	Facility		$749.33	$2,224.57	$2,224.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.28 / $2,332.28 / $3,512.48	Professional		$2,332.28	$2,332.28	$3,512.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $468.33 / $685.40	Facility		$281.00	$468.33	$685.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $468.33 / $585.41	Professional		$468.33	$468.33	$585.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.41 / $585.41 / $1,639.15	Professional		$304.41	$585.41	$1,639.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $482.20 / $1,686.30	Facility		$313.61	$482.20	$1,686.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.62 / $566.67 / $819.58	Professional		$442.62	$566.67	$819.58
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $299.73	Professional		$196.70	$196.70	$299.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $468.33	Professional		$187.20	$187.20	$468.33