Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $657.44 / $1,828.07	Facility		$225.15	$657.44	$1,828.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $247.67 / $318.95	Professional		$210.14	$247.67	$318.95
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 $243.91 / $880.69 / $1,671.38	Facility		$243.91	$880.69	$1,671.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $457.04 / $547.59	Professional		$457.04	$457.04	$547.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $1,782.44 / $1,782.44	Facility		$600.40	$1,782.44	$1,782.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.75 / $1,868.75 / $2,814.38	Professional		$1,868.75	$1,868.75	$2,814.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $375.25 / $549.03	Facility		$225.15	$375.25	$549.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $469.06	Professional		$375.25	$375.25	$469.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $469.06 / $1,313.38	Professional		$243.91	$469.06	$1,313.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.28 / $386.36 / $1,351.04	Facility		$251.28	$386.36	$1,351.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.58 / $469.06 / $656.69	Professional		$354.58	$469.06	$656.69
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $240.16	Professional		$157.61	$157.61	$240.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $375.25	Professional		$131.80	$131.80	$375.25