Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.43 / $899.66 / $2,495.39	Facility		$366.43	$899.66	$2,495.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $145.12 / $361.61	Professional		$112.98	$145.12	$361.61
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 $136.72 / $1,131.56 / $2,148.48	Facility		$136.72	$1,131.56	$2,148.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $587.50 / $703.89	Professional		$587.50	$587.50	$703.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $771.42 / $2,290.17 / $2,290.17	Facility		$771.42	$2,290.17	$2,290.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.06 / $2,401.06 / $3,616.05	Professional		$2,401.06	$2,401.06	$3,616.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.27 / $482.14 / $705.82	Facility		$289.27	$482.14	$705.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $482.14 / $602.67	Professional		$482.14	$482.14	$602.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.39 / $602.66 / $1,687.49	Professional		$313.39	$602.66	$1,687.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $482.14 / $1,736.15	Facility		$207.31	$482.14	$1,736.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $554.46 / $675.00	Professional		$228.04	$554.46	$675.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $171.53	Professional		$87.07	$87.07	$171.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $482.14	Professional		$109.93	$109.93	$482.14