Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.08 / $1,402.70 / $3,864.91	Facility		$595.08	$1,402.70	$3,864.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $551.01 / $669.08	Professional		$429.00	$551.01	$669.08
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 $518.04 / $1,790.78 / $3,507.37	Facility		$518.04	$1,790.78	$3,507.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.74 / $958.74 / $1,148.68	Professional		$958.74	$958.74	$1,148.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.44 / $3,738.96 / $3,738.96	Facility		$1,259.44	$3,738.96	$3,738.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,920.01 / $3,920.01 / $5,903.63	Professional		$3,920.01	$3,920.01	$5,903.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $472.29 / $787.15 / $1,161.90	Facility		$472.29	$787.15	$1,161.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $787.15 / $983.94	Professional		$787.15	$787.15	$983.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $708.43 / $983.94 / $1,771.09	Professional		$708.43	$983.94	$1,771.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.65 / $787.94 / $2,377.50	Facility		$511.65	$787.94	$2,377.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $944.58 / $1,377.51	Professional		$708.44	$944.58	$1,377.51
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $330.60 / $787.15	Professional		$330.60	$330.60	$787.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $540.00 / $787.15	Professional		$452.40	$540.00	$787.15