Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.82 / $867.02 / $2,388.91	Facility		$367.82	$867.02	$2,388.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $340.58 / $413.56	Professional		$265.16	$340.58	$413.56
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 $320.20 / $1,106.88 / $2,168.14	Facility		$320.20	$1,106.88	$2,168.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.75 / $592.75 / $710.19	Professional		$592.75	$592.75	$710.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.46 / $2,311.07 / $2,311.07	Facility		$778.46	$2,311.07	$2,311.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,422.96 / $2,422.96 / $3,649.05	Professional		$2,422.96	$2,422.96	$3,649.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.92 / $486.54 / $718.08	Facility		$291.92	$486.54	$718.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $608.17	Professional		$486.54	$486.54	$608.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $608.16 / $1,702.89	Professional		$316.25	$608.16	$1,702.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $487.03 / $1,469.69	Facility		$316.25	$487.03	$1,469.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.89 / $583.85 / $851.45	Professional		$437.89	$583.85	$851.45
United Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $204.35 / $486.54	Facility		$175.15	$204.35	$486.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $204.35 / $299.70	Professional		$204.35	$204.35	$299.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $288.83 / $486.54	Professional		$253.46	$288.83	$486.54