Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $691.83 / $2,187.76	Facility		$288.40	$691.83	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $346.74 / $457.09	Professional		$144.54	$346.74	$457.09
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 $138.04 / $691.83 / $2,137.96	Facility		$138.04	$691.83	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $707.95	Professional		$588.84	$588.84	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $3,630.78	Professional		$2,398.83	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $891.25	Facility		$323.59	$478.63	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $489.78	Professional		$269.15	$389.05	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $1,023.29	Professional		$478.63	$524.81	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $1,318.26	Facility		$204.17	$478.63	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $691.83	Professional		$218.78	$478.63	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $478.63	Facility		$173.78	$204.17	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $204.17	Professional		$87.10	$87.10	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $478.63 / $478.63	Professional		$107.15	$478.63	$478.63