Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.43 / $830.71 / $2,288.89	Facility		$352.43	$830.71	$2,288.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $344.97 / $396.24	Professional		$254.06	$344.97	$396.24
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 $303.01 / $1,094.08 / $2,077.53	Facility		$303.01	$1,094.08	$2,077.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $567.79 / $680.29	Professional		$567.79	$567.79	$680.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $745.87 / $2,214.31 / $2,214.31	Facility		$745.87	$2,214.31	$2,214.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.53 / $2,321.53 / $3,496.28	Professional		$2,321.53	$2,321.53	$3,496.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $466.17 / $682.33	Facility		$279.70	$466.17	$682.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $582.71	Professional		$466.17	$466.17	$582.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $582.71 / $1,631.60	Professional		$303.01	$582.71	$1,631.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.17 / $479.97 / $1,678.82	Facility		$312.17	$479.97	$1,678.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.48 / $582.71 / $815.80	Professional		$440.48	$582.71	$815.80
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $320.49	Professional		$195.79	$195.79	$320.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $279.68 / $466.17	Professional		$241.48	$279.68	$466.17