Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $2,187.76	Facility		$295.12	$707.95	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $512.86	Professional		$288.40	$371.54	$512.86
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 $316.23 / $501.19 / $2,187.76	Facility		$316.23	$501.19	$2,187.76
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 $371.54 / $489.78 / $912.01	Facility		$371.54	$489.78	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $588.84	Professional		$288.40	$389.05	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $1,047.13	Professional		$478.63	$524.81	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $1,348.96	Facility		$338.84	$489.78	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $851.14	Professional		$79.43	$512.86	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $489.78	Facility		$173.78	$204.17	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $331.13	Professional		$204.17	$204.17	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $489.78	Professional		$251.19	$251.19	$489.78